- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.14 / $9.98 / $17.23
| Facility | | $5.14 | $9.98 | $17.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.54 / $6.17
| Professional | | $3.25 | $4.54 | $6.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $6.05 / $15.73
| Facility | | $6.05 | $6.05 | $15.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $3.13 / $11.06
| Professional | | $2.19 | $3.13 | $11.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $6.05 / $6.05
| Facility | | $3.63 | $6.05 | $6.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $6.05 / $6.05
| Professional | | $4.42 | $6.05 | $6.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.22 / $12.00 / $46.95
| Facility | | $4.22 | $12.00 | $46.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.69 / $6.21 / $29.16
| Professional | | $3.69 | $6.21 | $29.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $7.87 / $332.00
| Facility | | $3.50 | $7.87 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.63 / $11.07
| Professional | | $2.42 | $3.63 | $11.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.54 / $5.75 / $7.00
| Professional | | $4.54 | $5.75 | $7.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.19 / $14.46 / $66.78
| Facility | | $7.19 | $14.46 | $66.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.95 / $5.94 / $11.09
| Professional | | $3.95 | $5.94 | $11.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.63 / $10.70
| Professional | | $2.54 | $3.63 | $10.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.96 / $6.96 / $18.51
| Facility | | $6.96 | $6.96 | $18.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.54 / $6.05 / $7.27
| Professional | | $4.54 | $6.05 | $7.27 |