- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.28 / $11.45 / $20.52
| Facility | | $6.28 | $11.45 | $20.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.91 / $5.89 / $7.20
| Professional | | $4.91 | $5.89 | $7.20 |
- 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
- $2.92 / $4.03 / $14.03
| Professional | | $2.92 | $4.03 | $14.03 |
- 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 / $68.90
| Facility | | $5.03 | $14.84 | $68.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.99 / $7.31 / $42.25
| Professional | | $4.99 | $7.31 | $42.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $10.38 / $332.00
| Facility | | $6.00 | $10.38 | $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
- $3.65 / $6.12 / $7.55
| Professional | | $3.65 | $6.12 | $7.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.88 / $8.88 / $8.88
| Facility | | $8.88 | $8.88 | $8.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.89 / $17.88 / $90.33
| Facility | | $8.89 | $17.88 | $90.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $9.08 / $14.44
| Professional | | $5.30 | $9.08 | $14.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.32 / $10.44
| Professional | | $3.02 | $4.32 | $10.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $8.27 / $15.09
| Facility | | $8.27 | $8.27 | $15.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $6.35 / $8.65
| Professional | | $3.65 | $6.35 | $8.65 |