- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.84 / $12.24 / $20.52
| Facility | | $6.84 | $12.24 | $20.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $6.12 / $7.34
| Professional | | $5.58 | $6.12 | $7.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.20 / $7.20 / $18.72
| Facility | | $7.20 | $7.20 | $18.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $4.34 / $16.42
| Professional | | $3.40 | $4.34 | $16.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.32 / $7.20 / $7.20
| Facility | | $4.32 | $7.20 | $7.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.26 / $7.20 / $7.20
| Professional | | $5.26 | $7.20 | $7.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.03 / $14.84 / $75.94
| Facility | | $5.03 | $14.84 | $75.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $8.03 / $47.74
| Professional | | $5.42 | $8.03 | $47.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $10.08 / $332.00
| Facility | | $5.00 | $10.08 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $4.32 / $13.18
| Professional | | $2.88 | $4.32 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $7.22 / $9.97
| Professional | | $6.14 | $7.22 | $9.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.93 / $17.88 / $98.18
| Facility | | $8.93 | $17.88 | $98.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $6.54 / $15.35
| Professional | | $3.42 | $6.54 | $15.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.32 / $15.73
| Professional | | $3.02 | $4.32 | $15.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $8.27 / $27.65
| Facility | | $8.27 | $8.27 | $27.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.62 / $8.27 / $10.44
| Professional | | $6.62 | $8.27 | $10.44 |