- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.32 / $13.14 / $21.97
| Facility | | $7.32 | $13.14 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.55 / $6.57 / $8.40
| Professional | | $6.55 | $6.57 | $8.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.71 / $7.71 / $20.05
| Facility | | $7.71 | $7.71 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.66 / $18.80
| Professional | | $3.80 | $4.66 | $18.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.63 / $7.71 / $7.71
| Facility | | $4.63 | $7.71 | $7.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.63 / $7.71 / $7.71
| Professional | | $5.63 | $7.71 | $7.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $16.28 / $89.46
| Facility | | $5.39 | $16.28 | $89.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $8.77 / $67.64
| Professional | | $5.78 | $8.77 | $67.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $10.02 / $332.00
| Facility | | $4.00 | $10.02 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.08 / $4.63 / $14.11
| Professional | | $3.08 | $4.63 | $14.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $8.23 / $11.74
| Professional | | $7.22 | $8.23 | $11.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.39 / $18.73 / $105.57
| Facility | | $9.39 | $18.73 | $105.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $10.87 / $18.05
| Professional | | $6.18 | $10.87 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.63 / $12.36
| Professional | | $3.24 | $4.63 | $12.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $32.58
| Facility | | $8.86 | $8.86 | $32.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $9.27 / $11.86
| Professional | | $7.32 | $9.27 | $11.86 |