- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.53 / $11.32 / $26.93
| Facility | | $5.53 | $11.32 | $26.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $5.64 / $6.47
| Professional | | $4.32 | $5.64 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $16.82
| Facility | | $6.47 | $6.47 | $16.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $3.88 / $13.91
| Professional | | $3.19 | $3.88 | $13.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.88 / $6.47 / $6.47
| Facility | | $3.88 | $6.47 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $6.47 / $6.47
| Professional | | $4.72 | $6.47 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $13.43 / $62.53
| Facility | | $4.51 | $13.43 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.98 / $8.97 / $55.08
| Professional | | $4.98 | $8.97 | $55.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $9.71 / $332.00
| Facility | | $6.00 | $9.71 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.96 / $3.85 / $11.84
| Professional | | $2.96 | $3.85 | $11.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.20 / $3.20 / $3.20
| Facility | | $3.20 | $3.20 | $3.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $6.15 / $8.59
| Professional | | $3.20 | $6.15 | $8.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $16.18 / $86.35
| Facility | | $8.03 | $16.18 | $86.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $9.11 / $13.33
| Professional | | $5.19 | $9.11 | $13.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.88 / $9.71
| Professional | | $2.72 | $3.88 | $9.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.44 / $7.44 / $23.83
| Facility | | $7.44 | $7.44 | $23.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.29 / $7.00 / $10.52
| Professional | | $5.29 | $7.00 | $10.52 |