- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.65 / $14.68 / $25.65
| Facility | | $7.65 | $14.68 | $25.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $6.21 / $9.00
| Professional | | $2.58 | $6.21 | $9.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $9.00 / $23.40
| Facility | | $9.00 | $9.00 | $23.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $3.84 / $12.42
| Professional | | $1.93 | $3.84 | $12.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.40 / $9.00 / $9.00
| Facility | | $5.40 | $9.00 | $9.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $9.00 / $9.00
| Professional | | $6.57 | $9.00 | $9.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.29 / $18.38 / $37.56
| Facility | | $6.29 | $18.38 | $37.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $9.13 / $44.07
| Professional | | $5.30 | $9.13 | $44.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $11.70 / $332.00
| Facility | | $5.50 | $11.70 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $5.40 / $16.47
| Professional | | $3.60 | $5.40 | $16.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $8.55 / $10.43
| Professional | | $6.22 | $8.55 | $10.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $22.14 / $98.18
| Facility | | $10.80 | $22.14 | $98.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $7.62 / $20.00
| Professional | | $5.30 | $7.62 | $20.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.72 / $5.08 / $5.85
| Facility | | $4.72 | $5.08 | $5.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $4.20 / $13.22
| Professional | | $3.19 | $4.20 | $13.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.35 / $10.35 / $25.34
| Facility | | $10.35 | $10.35 | $25.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $9.00 / $10.82
| Professional | | $6.22 | $9.00 | $10.82 |