- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.12 / $24.91 / $73.08
| Facility | | $6.12 | $24.91 | $73.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.16 / $9.72
| Professional | | $4.86 | $6.16 | $9.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $3.89
| Professional | | $3.89 | $3.89 | $3.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.83 / $25.92 / $47.79
| Facility | | $9.83 | $25.92 | $47.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $5.00 / $7.21
| Professional | | $4.29 | $5.00 | $7.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $12.74 / $42.91
| Facility | | $8.10 | $12.74 | $42.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.67 / $8.10 / $12.96
| Professional | | $5.67 | $8.10 | $12.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $8.10 / $8.10
| Facility | | $8.06 | $8.10 | $8.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.66 / $16.12 / $36.25
| Facility | | $5.66 | $16.12 | $36.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $5.24 / $12.39
| Professional | | $4.26 | $5.24 | $12.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.06 / $150.11 / $150.11
| Facility | | $118.06 | $150.11 | $150.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.16 / $8.10 / $10.34
| Facility | | $6.16 | $8.10 | $10.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $8.10 / $9.11
| Professional | | $7.64 | $8.10 | $9.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.16 / $8.10 / $19.28
| Facility | | $6.16 | $8.10 | $19.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $5.67 / $10.10
| Professional | | $4.29 | $5.67 | $10.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $4.04 / $5.15
| Professional | | $3.40 | $4.04 | $5.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.45 / $8.10
| Professional | | $3.16 | $3.45 | $8.10 |