- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.16 / $13.99 / $24.20
| Facility | | $6.16 | $13.99 | $24.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $7.46 / $8.80
| Professional | | $2.58 | $7.46 | $8.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.80 / $8.80 / $22.88
| Facility | | $8.80 | $8.80 | $22.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $4.08 / $12.77
| Professional | | $1.93 | $4.08 | $12.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.28 / $8.80 / $8.80
| Facility | | $5.28 | $8.80 | $8.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $8.80 / $8.80
| Professional | | $6.42 | $8.80 | $8.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.15 / $17.67 / $37.56
| Facility | | $6.15 | $17.67 | $37.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.07 / $9.13 / $53.26
| Professional | | $6.07 | $9.13 | $53.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $12.98 / $332.00
| Facility | | $7.50 | $12.98 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $5.28 / $16.10
| Professional | | $3.52 | $5.28 | $16.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $8.80 / $10.98
| Professional | | $7.47 | $8.80 | $10.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.58 / $21.29 / $110.01
| Facility | | $10.58 | $21.29 | $110.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.62 / $20.00
| Professional | | $5.25 | $7.62 | $20.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $4.76 / $13.20
| Professional | | $3.12 | $4.76 | $13.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $30.49
| Facility | | $10.11 | $10.11 | $30.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $9.52 / $11.51
| Professional | | $7.47 | $9.52 | $11.51 |