- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.58 / $19.07 / $66.29
| Facility | | $8.58 | $19.07 | $66.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $8.58 / $11.24
| Professional | | $5.72 | $8.58 | $11.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.09 / $10.09 / $26.23
| Facility | | $10.09 | $10.09 | $26.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.71 / $5.22 / $18.38
| Professional | | $3.71 | $5.22 | $18.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $10.09 / $10.09
| Facility | | $6.05 | $10.09 | $10.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $10.09 / $10.09
| Professional | | $7.37 | $10.09 | $10.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.05 / $20.50 / $82.74
| Facility | | $7.05 | $20.50 | $82.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $10.23 / $48.63
| Professional | | $5.92 | $10.23 | $48.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $13.12 / $332.00
| Facility | | $5.50 | $13.12 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.61 / $6.00 / $18.46
| Professional | | $4.61 | $6.00 | $18.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $5.25
| Facility | | $5.25 | $5.25 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.06 / $11.33
| Professional | | $5.25 | $8.06 | $11.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.27 / $24.70 / $110.01
| Facility | | $12.27 | $24.70 | $110.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $11.56 / $26.56
| Professional | | $6.13 | $11.56 | $26.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $5.68 / $14.82
| Professional | | $3.86 | $5.68 | $14.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.60 / $11.60 / $25.29
| Facility | | $11.60 | $11.60 | $25.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.71 / $9.15 / $12.13
| Professional | | $6.71 | $9.15 | $12.13 |