- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $16.44 / $38.68
| Facility | | $4.01 | $16.44 | $38.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.28 / $18.64
| Professional | | $2.54 | $3.28 | $18.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $2.06 / $2.06
| Professional | | $2.06 | $2.06 | $2.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.76 / $8.27 / $293.00
| Facility | | $3.76 | $8.27 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.71 / $7.07
| Professional | | $1.70 | $2.71 | $7.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.36 / $30.54 / $60.56
| Facility | | $8.36 | $30.54 | $60.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $3.04 / $16.46
| Professional | | $2.13 | $3.04 | $16.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.39 / $4.50 / $11.94
| Facility | | $2.39 | $4.50 | $11.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $4.13 / $6.02
| Professional | | $2.31 | $4.13 | $6.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.52 / $3.43 / $5.49
| Professional | | $0.52 | $3.43 | $5.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.74 / $3.43 / $7.48
| Professional | | $2.74 | $3.43 | $7.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $3.97 / $8.61
| Facility | | $2.57 | $3.97 | $8.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $3.43 / $6.86
| Professional | | $2.33 | $3.43 | $6.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $12.03 / $12.03
| Professional | | $12.03 | $12.03 | $12.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.74 / $3.43 / $4.80
| Professional | | $2.74 | $3.43 | $4.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.44 / $2.06 / $6.66
| Professional | | $1.44 | $2.06 | $6.66 |