- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.48 / $11.25 / $19.44
| Facility | | $6.48 | $11.25 | $19.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.32 / $6.82
| Professional | | $5.05 | $5.32 | $6.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.82 / $6.82 / $17.73
| Facility | | $6.82 | $6.82 | $17.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $4.09 / $14.48
| Professional | | $3.06 | $4.09 | $14.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.09 / $6.82 / $6.82
| Facility | | $4.09 | $6.82 | $6.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.98 / $6.82 / $6.82
| Professional | | $4.98 | $6.82 | $6.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $14.37 / $68.97
| Facility | | $4.76 | $14.37 | $68.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.99 / $7.67 / $44.07
| Professional | | $4.99 | $7.67 | $44.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $9.55 / $332.00
| Facility | | $5.00 | $9.55 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $4.09 / $12.48
| Professional | | $3.12 | $4.09 | $12.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $5.25
| Facility | | $5.25 | $5.25 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $5.80 / $7.66
| Professional | | $4.32 | $5.80 | $7.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $17.02 / $90.33
| Facility | | $8.46 | $17.02 | $90.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $8.00 / $14.05
| Professional | | $5.47 | $8.00 | $14.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $4.09 / $9.89
| Professional | | $2.86 | $4.09 | $9.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.84 / $7.84 / $17.82
| Facility | | $7.84 | $7.84 | $17.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $6.55 / $8.19
| Professional | | $4.32 | $6.55 | $8.19 |