- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $11.30 / $19.52
| Facility | | $6.50 | $11.30 | $19.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $5.82 / $6.85
| Professional | | $5.08 | $5.82 | $6.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.85 / $6.85 / $17.80
| Facility | | $6.85 | $6.85 | $17.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.27 / $4.11 / $14.81
| Professional | | $3.27 | $4.11 | $14.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.11 / $6.85 / $6.85
| Facility | | $4.11 | $6.85 | $6.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.85 / $6.85
| Professional | | $5.00 | $6.85 | $6.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.78 / $14.13 / $69.31
| Facility | | $4.78 | $14.13 | $69.31 |
- 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
- $4.00 / $8.91 / $332.00
| Facility | | $4.00 | $8.91 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.74 / $4.11 / $12.54
| Professional | | $2.74 | $4.11 | $12.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.49 / $6.57 / $8.15
| Professional | | $5.49 | $6.57 | $8.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.22 / $17.02 / $90.33
| Facility | | $8.22 | $17.02 | $90.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.49 / $9.41 / $15.00
| Professional | | $5.49 | $9.41 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.45 / $4.70 / $5.17
| Facility | | $4.45 | $4.70 | $5.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $4.11 / $10.56
| Professional | | $2.88 | $4.11 | $10.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.88 / $7.88 / $22.63
| Facility | | $7.88 | $7.88 | $22.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.49 / $7.18 / $8.23
| Professional | | $5.49 | $7.18 | $8.23 |