- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.85 / $11.46 / $19.61
| Facility | | $5.85 | $11.46 | $19.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $5.83 / $7.02
| Professional | | $4.42 | $5.83 | $7.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.88 / $6.88 / $17.89
| Facility | | $6.88 | $6.88 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $4.18 / $15.09
| Professional | | $3.19 | $4.18 | $15.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $6.88 / $6.88
| Facility | | $4.13 | $6.88 | $6.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.88 / $6.88
| Professional | | $5.01 | $6.88 | $6.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $14.37 / $64.04
| Facility | | $4.80 | $14.37 | $64.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $7.31 / $33.15
| Professional | | $4.76 | $7.31 | $33.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $10.32 / $332.00
| Facility | | $6.00 | $10.32 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.14 / $4.13 / $12.59
| Professional | | $3.14 | $4.13 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.88 / $6.88 / $6.88
| Facility | | $6.88 | $6.88 | $6.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.85 / $6.88 / $8.59
| Professional | | $5.85 | $6.88 | $8.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $17.02 / $86.35
| Facility | | $8.46 | $17.02 | $86.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $8.18 / $14.17
| Professional | | $5.14 | $8.18 | $14.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $4.13 / $11.00
| Professional | | $2.89 | $4.13 | $11.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.91 / $7.91 / $23.83
| Facility | | $7.91 | $7.91 | $23.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.85 / $7.23 / $8.88
| Professional | | $5.85 | $7.23 | $8.88 |