- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.52 / $10.56 / $18.50
| Facility | | $5.52 | $10.56 | $18.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $4.46 / $6.49
| Professional | | $2.58 | $4.46 | $6.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.49 / $6.49 / $16.87
| Facility | | $6.49 | $6.49 | $16.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $3.21 / $10.08
| Professional | | $1.77 | $3.21 | $10.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $6.49 / $6.49
| Facility | | $3.89 | $6.49 | $6.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.74 / $6.49 / $6.49
| Professional | | $4.74 | $6.49 | $6.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.54 / $13.66 / $41.73
| Facility | | $4.54 | $13.66 | $41.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.81 / $6.57 / $33.06
| Professional | | $3.81 | $6.57 | $33.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $8.44 / $332.00
| Facility | | $4.00 | $8.44 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $3.89 / $11.88
| Professional | | $2.60 | $3.89 | $11.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $5.89 / $7.29
| Professional | | $4.04 | $5.89 | $7.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $16.18 / $70.65
| Facility | | $8.03 | $16.18 | $70.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.95 / $6.57 / $13.37
| Professional | | $3.95 | $6.57 | $13.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.41 / $3.66 / $4.22
| Facility | | $3.41 | $3.66 | $4.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.73 / $3.15 / $9.52
| Professional | | $2.73 | $3.15 | $9.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.46 / $7.46 / $18.28
| Facility | | $7.46 | $7.46 | $18.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $6.17 / $7.80
| Professional | | $4.04 | $6.17 | $7.80 |