- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $9.61 / $17.84
| Facility | | $4.13 | $9.61 | $17.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.67 / $4.24 / $5.49
| Professional | | $3.67 | $4.24 | $5.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.49 / $5.49 / $14.27
| Facility | | $5.49 | $5.49 | $14.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.02 / $11.04
| Professional | | $2.27 | $3.02 | $11.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.29 / $5.49 / $5.49
| Facility | | $3.29 | $5.49 | $5.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.49 / $5.49
| Professional | | $4.01 | $5.49 | $5.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.84 / $11.31 / $48.04
| Facility | | $3.84 | $11.31 | $48.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.48 / $31.22
| Professional | | $3.47 | $5.48 | $31.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $7.14 / $332.00
| Facility | | $3.00 | $7.14 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.20 / $3.29 / $10.05
| Professional | | $2.20 | $3.29 | $10.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $5.22 / $6.31
| Professional | | $4.29 | $5.22 | $6.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.77 / $13.77 / $20.60
| Facility | | $13.77 | $13.77 | $20.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.66 / $3.66 / $3.66
| Professional | | $3.66 | $3.66 | $3.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.77 / $13.63 / $62.80
| Facility | | $6.77 | $13.63 | $62.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.76 / $6.53 / $50.00
| Professional | | $3.76 | $6.53 | $50.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $3.15 / $8.06
| Professional | | $2.31 | $3.15 | $8.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $6.31 / $17.52
| Facility | | $6.31 | $6.31 | $17.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $5.60 / $6.60
| Professional | | $4.29 | $5.60 | $6.60 |