- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $8.11 / $15.08
| Facility | | $4.01 | $8.11 | $15.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.44 / $4.01 / $4.63
| Professional | | $3.44 | $4.01 | $4.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.63 / $4.63 / $12.06
| Facility | | $4.63 | $4.63 | $12.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $2.80 / $10.46
| Professional | | $2.21 | $2.80 | $10.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.78 / $4.63 / $4.63
| Facility | | $2.78 | $4.63 | $4.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $4.63 / $4.63
| Professional | | $3.39 | $4.63 | $4.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $9.19 / $47.90
| Facility | | $3.24 | $9.19 | $47.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.34 / $31.22
| Professional | | $3.47 | $4.34 | $31.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $6.15 / $332.00
| Facility | | $3.00 | $6.15 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $2.78 / $8.49
| Professional | | $1.86 | $2.78 | $8.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $4.63 / $6.16
| Professional | | $3.94 | $4.63 | $6.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $8.27 / $8.27
| Facility | | $8.27 | $8.27 | $8.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.51 / $11.07 / $62.80
| Facility | | $5.51 | $11.07 | $62.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $6.25 / $11.85
| Professional | | $3.72 | $6.25 | $11.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $2.78 / $6.96
| Professional | | $1.95 | $2.78 | $6.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.34 / $5.34 / $20.16
| Facility | | $5.34 | $5.34 | $20.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $5.18 / $6.25
| Professional | | $4.08 | $5.18 | $6.25 |