- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.31 / $14.62 / $24.51
| Facility | | $7.31 | $14.62 | $24.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $7.31 / $8.77
| Professional | | $4.84 | $7.31 | $8.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $8.60 / $22.36
| Facility | | $8.60 | $8.60 | $22.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $4.88 / $16.51
| Professional | | $3.30 | $4.88 | $16.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.16 / $8.60 / $8.60
| Facility | | $5.16 | $8.60 | $8.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.28 / $8.60 / $8.60
| Professional | | $6.28 | $8.60 | $8.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.01 / $17.67 / $70.09
| Facility | | $6.01 | $17.67 | $70.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $9.50 / $55.08
| Professional | | $6.51 | $9.50 | $55.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $12.90 / $332.00
| Facility | | $8.00 | $12.90 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.44 / $5.16 / $15.74
| Professional | | $3.44 | $5.16 | $15.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.31 / $8.60 / $11.42
| Professional | | $7.31 | $8.60 | $11.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $21.29 / $117.86
| Facility | | $10.32 | $21.29 | $117.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.90 / $10.14 / $30.00
| Professional | | $6.90 | $10.14 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.00 / $30.00 / $30.00
| Facility | | $30.00 | $30.00 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $4.93 / $13.50
| Professional | | $3.61 | $4.93 | $13.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.89 / $9.89 / $31.67
| Facility | | $9.89 | $9.89 | $31.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $9.61 / $11.97
| Professional | | $7.58 | $9.61 | $11.97 |