- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.41 / $14.60 / $25.22
| Facility | | $8.41 | $14.60 | $25.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $7.52 / $9.02
| Professional | | $6.57 | $7.52 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.85 / $8.85 / $23.01
| Facility | | $8.85 | $8.85 | $23.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.22 / $5.31 / $19.03
| Professional | | $4.22 | $5.31 | $19.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.31 / $8.85 / $8.85
| Facility | | $5.31 | $8.85 | $8.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.85 / $8.85
| Professional | | $6.46 | $8.85 | $8.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.18 / $17.67 / $89.89
| Facility | | $6.18 | $17.67 | $89.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $9.86 / $55.08
| Professional | | $6.51 | $9.86 | $55.08 |
- 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
- $3.54 / $5.31 / $16.20
| Professional | | $3.54 | $5.31 | $16.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $8.50 / $10.14
| Professional | | $6.82 | $8.50 | $10.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.62 / $21.29 / $117.86
| Facility | | $10.62 | $21.29 | $117.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $12.16 / $25.00
| Professional | | $7.10 | $12.16 | $25.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $5.31 / $13.13
| Professional | | $3.72 | $5.31 | $13.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $10.18 / $28.12
| Facility | | $10.18 | $10.18 | $28.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $9.00 / $10.64
| Professional | | $6.82 | $9.00 | $10.64 |