- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.88 / $14.66 / $24.43
| Facility | | $6.88 | $14.66 | $24.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $6.32 / $8.16
| Professional | | $5.19 | $6.32 | $8.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $8.10 / $21.06
| Facility | | $8.10 | $8.10 | $21.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $4.42 / $16.22
| Professional | | $3.34 | $4.42 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.86 / $8.10 / $8.10
| Facility | | $4.86 | $8.10 | $8.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.91 / $8.10 / $8.10
| Professional | | $5.91 | $8.10 | $8.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.66 / $16.26 / $71.84
| Facility | | $5.66 | $16.26 | $71.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.21 / $9.50 / $45.91
| Professional | | $5.21 | $9.50 | $45.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $10.53 / $332.00
| Facility | | $3.50 | $10.53 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.86 / $14.82
| Professional | | $3.24 | $4.86 | $14.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $7.69 / $9.27
| Professional | | $6.32 | $7.69 | $9.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.98 / $17.01 / $24.05
| Facility | | $6.98 | $17.01 | $24.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $19.59 / $94.20
| Facility | | $9.73 | $19.59 | $94.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $10.21 / $16.69
| Professional | | $5.61 | $10.21 | $16.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $4.86 / $12.72
| Professional | | $3.40 | $4.86 | $12.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.31 / $9.31 / $25.75
| Facility | | $9.31 | $9.31 | $25.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $8.25 / $9.74
| Professional | | $6.32 | $8.25 | $9.74 |