- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $8.51 / $15.80
| Facility | | $4.13 | $8.51 | $15.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $4.20 / $4.62
| Professional | | $3.61 | $4.20 | $4.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.86 / $4.86 / $12.64
| Facility | | $4.86 | $4.86 | $12.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $2.94 / $10.97
| Professional | | $2.31 | $2.94 | $10.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.92 / $4.86 / $4.86
| Facility | | $2.92 | $4.86 | $4.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $4.86 / $4.86
| Professional | | $3.55 | $4.86 | $4.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.40 / $9.89 / $50.93
| Facility | | $3.40 | $9.89 | $50.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.69 / $5.48 / $44.07
| Professional | | $3.69 | $5.48 | $44.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $6.92 / $332.00
| Facility | | $4.00 | $6.92 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.22 / $2.92 / $8.89
| Professional | | $2.22 | $2.92 | $8.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.86 / $4.86 / $4.86
| Facility | | $4.86 | $4.86 | $4.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $4.86 / $6.27
| Professional | | $4.29 | $4.86 | $6.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.93 / $11.91 / $66.78
| Facility | | $5.93 | $11.91 | $66.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $5.73 / $10.01
| Professional | | $3.65 | $5.73 | $10.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.92 / $7.37
| Professional | | $2.04 | $2.92 | $7.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.59 / $5.59 / $17.89
| Facility | | $5.59 | $5.59 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $5.26 / $6.45
| Professional | | $4.29 | $5.26 | $6.45 |