- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.43 / $15.08 / $25.28
| Facility | | $8.43 | $15.08 | $25.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $7.54 / $8.86
| Professional | | $6.59 | $7.54 | $8.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $23.06
| Facility | | $8.86 | $8.86 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.24 / $5.36 / $20.02
| Professional | | $4.24 | $5.36 | $20.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.32 / $8.86 / $8.86
| Facility | | $5.32 | $8.86 | $8.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $8.86 / $8.86
| Professional | | $6.48 | $8.86 | $8.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.20 / $18.69 / $89.89
| Facility | | $6.20 | $18.69 | $89.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $9.86 / $54.11
| Professional | | $6.51 | $9.86 | $54.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $11.53 / $332.00
| Facility | | $5.00 | $11.53 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $5.32 / $16.23
| Professional | | $4.05 | $5.32 | $16.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $8.86
| Facility | | $8.86 | $8.86 | $8.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $8.86 / $11.44
| Professional | | $7.82 | $8.86 | $11.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.67 / $21.29 / $117.86
| Facility | | $10.67 | $21.29 | $117.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $12.20 / $30.00
| Professional | | $7.12 | $12.20 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $5.32 / $13.92
| Professional | | $3.15 | $5.32 | $13.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $10.19 / $32.68
| Facility | | $10.19 | $10.19 | $32.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $9.59 / $11.78
| Professional | | $7.82 | $9.59 | $11.78 |