- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $17.89 / $32.06
| Facility | | $9.32 | $17.89 | $32.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $4.96 / $11.25
| Professional | | $4.08 | $4.96 | $11.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.25 / $11.25 / $29.25
| Facility | | $11.25 | $11.25 | $29.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $4.87 / $15.64
| Professional | | $2.79 | $4.87 | $15.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.75 / $11.25 / $11.25
| Facility | | $6.75 | $11.25 | $11.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.21 / $11.25 / $11.25
| Professional | | $8.21 | $11.25 | $11.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.86 / $22.62 / $59.19
| Facility | | $7.86 | $22.62 | $59.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.23 / $11.32 / $54.23
| Professional | | $4.23 | $11.32 | $54.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $14.63 / $332.00
| Facility | | $5.00 | $14.63 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $6.64 / $20.59
| Professional | | $4.50 | $6.64 | $20.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.80 / $11.79
| Professional | | $3.89 | $5.80 | $11.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.66 / $27.25 / $121.73
| Facility | | $13.66 | $27.25 | $121.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $10.75 / $17.44
| Professional | | $4.34 | $10.75 | $17.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.75 / $16.52
| Professional | | $3.98 | $5.75 | $16.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.84 / $12.94 / $16.14
| Facility | | $11.84 | $12.94 | $16.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.80 / $13.52
| Professional | | $3.89 | $5.80 | $13.52 |