- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $8.36 / $14.45
| Facility | | $4.30 | $8.36 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $3.14 / $5.07
| Professional | | $2.76 | $3.14 | $5.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.07 / $5.07 / $13.18
| Facility | | $5.07 | $5.07 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.64 / $8.90
| Professional | | $2.02 | $2.64 | $8.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.04 / $5.07 / $5.07
| Facility | | $3.04 | $5.07 | $5.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.70 / $5.07 / $5.07
| Professional | | $3.70 | $5.07 | $5.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.54 / $10.60 / $41.91
| Facility | | $3.54 | $10.60 | $41.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $5.11 / $25.70
| Professional | | $2.86 | $5.11 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $6.59 / $332.00
| Facility | | $2.50 | $6.59 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $3.04 / $9.27
| Professional | | $2.02 | $3.04 | $9.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $4.41 / $5.69
| Professional | | $3.36 | $4.41 | $5.69 |
- 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
- $2.97 / $5.78 / $8.13
| Professional | | $2.97 | $5.78 | $8.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.43 / $7.35
| Professional | | $2.10 | $2.43 | $7.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.83 / $5.83 / $13.66
| Facility | | $5.83 | $5.83 | $13.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $4.82 / $6.09
| Professional | | $3.36 | $4.82 | $6.09 |