- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.55 / $13.49 / $21.97
| Facility | | $6.55 | $13.49 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $6.72 / $7.71
| Professional | | $5.72 | $6.72 | $7.71 |
- 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
- $3.59 / $4.62 / $17.38
| Professional | | $3.59 | $4.62 | $17.38 |
- 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 / $15.55 / $78.02
| Facility | | $5.39 | $15.55 | $78.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $8.77 / $82.67
| Professional | | $5.64 | $8.77 | $82.67 |
- 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
- $6.55 / $7.71 / $10.23
| Professional | | $6.55 | $7.71 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.31 / $18.73 / $102.16
| Facility | | $9.31 | $18.73 | $102.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $10.60 / $15.88
| Professional | | $6.13 | $10.60 | $15.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.63 / $11.32
| Professional | | $3.24 | $4.63 | $11.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $28.40
| Facility | | $8.86 | $8.86 | $28.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $8.61 / $10.73
| Professional | | $6.80 | $8.61 | $10.73 |