- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.36 / $8.46 / $14.62
| Facility | | $4.36 | $8.46 | $14.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $3.40 / $5.13
| Professional | | $2.80 | $3.40 | $5.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $13.34
| Facility | | $5.13 | $5.13 | $13.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $2.61 / $9.00
| Professional | | $1.79 | $2.61 | $9.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $5.13 / $5.13
| Facility | | $3.08 | $5.13 | $5.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.74 / $5.13 / $5.13
| Professional | | $3.74 | $5.13 | $5.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $10.78 / $41.91
| Facility | | $3.58 | $10.78 | $41.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $4.97 / $25.70
| Professional | | $2.89 | $4.97 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $6.67 / $332.00
| Facility | | $2.50 | $6.67 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $3.08 / $9.39
| Professional | | $2.04 | $3.08 | $9.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $4.87 / $5.76
| Professional | | $3.39 | $4.87 | $5.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.14 / $9.14 / $9.14
| Facility | | $9.14 | $9.14 | $9.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.35 / $12.77 / $54.95
| Facility | | $6.35 | $12.77 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.27 / $4.97 / $8.44
| Professional | | $3.27 | $4.97 | $8.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.82 / $7.70
| Professional | | $2.10 | $2.82 | $7.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.90 / $5.90 / $13.85
| Facility | | $5.90 | $5.90 | $13.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $4.99 / $6.17
| Professional | | $3.39 | $4.99 | $6.17 |