- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $15.01 / $26.90
| Facility | | $8.02 | $15.01 | $26.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.11 / $6.21 / $9.61
| Professional | | $5.11 | $6.21 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.44 / $9.44 / $24.54
| Facility | | $9.44 | $9.44 | $24.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $4.83 / $16.57
| Professional | | $3.36 | $4.83 | $16.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.66 / $9.44 / $9.44
| Facility | | $5.66 | $9.44 | $9.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.89 / $9.44 / $9.44
| Professional | | $6.89 | $9.44 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.60 / $19.07 / $74.05
| Facility | | $6.60 | $19.07 | $74.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $10.59 / $45.50
| Professional | | $5.30 | $10.59 | $45.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $12.30 / $332.00
| Facility | | $6.00 | $12.30 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $5.66 / $17.28
| Professional | | $3.78 | $5.66 | $17.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $8.18 / $10.60
| Professional | | $6.22 | $8.18 | $10.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.33 / $22.98 / $125.71
| Facility | | $11.33 | $22.98 | $125.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $11.14 / $15.31
| Professional | | $5.53 | $11.14 | $15.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.96 / $5.64 / $13.86
| Professional | | $3.96 | $5.64 | $13.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.86 / $10.86 / $25.34
| Facility | | $10.86 | $10.86 | $25.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $8.97 / $11.35
| Professional | | $6.22 | $8.97 | $11.35 |