- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $16.07 / $27.76
| Facility | | $8.27 | $16.07 | $27.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $7.77 / $9.93
| Professional | | $6.35 | $7.77 | $9.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.74 / $9.74 / $25.32
| Facility | | $9.74 | $9.74 | $25.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $5.94 / $21.13
| Professional | | $4.25 | $5.94 | $21.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.84 / $9.74 / $9.74
| Facility | | $5.84 | $9.74 | $9.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $9.74 / $9.74
| Professional | | $7.11 | $9.74 | $9.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.80 / $20.57 / $89.89
| Facility | | $6.80 | $20.57 | $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
- $5.00 / $12.66 / $332.00
| Facility | | $5.00 | $12.66 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.90 / $5.84 / $17.82
| Professional | | $3.90 | $5.84 | $17.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $9.61 / $11.43
| Professional | | $7.77 | $9.61 | $11.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.85 / $23.84 / $117.86
| Facility | | $11.85 | $23.84 | $117.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $11.77 / $19.01
| Professional | | $6.91 | $11.77 | $19.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.84 / $14.76
| Professional | | $4.09 | $5.84 | $14.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.20 / $11.20 / $31.70
| Facility | | $11.20 | $11.20 | $31.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $10.21 / $11.71
| Professional | | $7.77 | $10.21 | $11.71 |