- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $16.21 / $28.30
| Facility | | $8.44 | $16.21 | $28.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $6.86 / $9.93
| Professional | | $5.64 | $6.86 | $9.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.93 / $9.93 / $25.82
| Facility | | $9.93 | $9.93 | $25.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.67 / $5.14 / $18.14
| Professional | | $3.67 | $5.14 | $18.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.96 / $9.93 / $9.93
| Facility | | $5.96 | $9.93 | $9.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $9.93 / $9.93
| Professional | | $7.25 | $9.93 | $9.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.94 / $19.79 / $81.79
| Facility | | $6.94 | $19.79 | $81.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.85 / $10.23 / $49.59
| Professional | | $5.85 | $10.23 | $49.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $12.91 / $332.00
| Facility | | $5.00 | $12.91 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $5.96 / $18.17
| Professional | | $3.97 | $5.96 | $18.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.88 / $9.43 / $11.15
| Professional | | $6.88 | $9.43 | $11.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.95 / $23.84 / $110.01
| Facility | | $11.95 | $23.84 | $110.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $10.23 / $16.89
| Professional | | $6.13 | $10.23 | $16.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $5.96 / $17.55
| Professional | | $4.17 | $5.96 | $17.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.42 / $11.42 / $28.02
| Facility | | $11.42 | $11.42 | $28.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.88 / $9.86 / $11.94
| Professional | | $6.88 | $9.86 | $11.94 |