- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.63 / $12.22 / $19.89
| Facility | | $6.63 | $12.22 | $19.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $5.93 / $6.98
| Professional | | $5.18 | $5.93 | $6.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.98 / $6.98 / $18.14
| Facility | | $6.98 | $6.98 | $18.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $4.22 / $15.76
| Professional | | $3.33 | $4.22 | $15.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.19 / $6.98 / $6.98
| Facility | | $4.19 | $6.98 | $6.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $6.98 / $6.98
| Professional | | $5.09 | $6.98 | $6.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.88 / $14.76 / $71.84
| Facility | | $4.88 | $14.76 | $71.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.21 / $8.03 / $44.07
| Professional | | $5.21 | $8.03 | $44.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $9.77 / $332.00
| Facility | | $5.50 | $9.77 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $4.19 / $12.77
| Professional | | $2.79 | $4.19 | $12.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.93 / $6.98 / $8.39
| Professional | | $5.93 | $6.98 | $8.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $17.02 / $94.20
| Facility | | $8.46 | $17.02 | $94.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $6.29 / $14.38
| Professional | | $4.28 | $6.29 | $14.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.54 / $4.79 / $5.27
| Facility | | $4.54 | $4.79 | $5.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.93 / $4.19 / $10.58
| Professional | | $2.93 | $4.19 | $10.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $8.02 / $25.70
| Facility | | $8.02 | $8.02 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.15 / $7.55 / $9.26
| Professional | | $6.15 | $7.55 | $9.26 |