- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $6.44 / $13.79
| Facility | | $3.58 | $6.44 | $13.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.04 / $11.79 / $14.33
| Professional | | $3.04 | $11.79 | $14.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $3.58 / $9.31
| Facility | | $3.58 | $3.58 | $9.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $2.18 / $31.53
| Professional | | $1.77 | $2.18 | $31.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.15 / $3.58 / $3.58
| Facility | | $2.15 | $3.58 | $3.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $3.58 / $3.58
| Professional | | $2.61 | $3.58 | $3.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $7.07 / $9.32
| Facility | | $2.50 | $7.07 | $9.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.16 / $22.74
| Professional | | $4.01 | $5.16 | $22.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $12.70 / $332.00
| Facility | | $4.30 | $12.70 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.43 / $2.15 / $9.94
| Professional | | $1.43 | $2.15 | $9.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $10.22 / $16.97
| Professional | | $3.40 | $10.22 | $16.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.23 / $8.52 / $47.10
| Facility | | $4.23 | $8.52 | $47.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.87 / $5.16 / $28.73
| Professional | | $2.87 | $5.16 | $28.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.33 / $10.91 / $12.01
| Facility | | $2.33 | $10.91 | $12.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.50 / $2.15 / $12.51
| Professional | | $1.50 | $2.15 | $12.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.12 / $4.12 / $42.70
| Facility | | $4.12 | $4.12 | $42.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.58 / $11.64 / $18.96
| Professional | | $3.58 | $11.64 | $18.96 |