- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.77 / $12.67 / $22.32
| Facility | | $6.77 | $12.67 | $22.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $6.78 / $9.25
| Professional | | $5.92 | $6.78 | $9.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.97 / $7.97 / $20.72
| Facility | | $7.97 | $7.97 | $20.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.53 / $4.78 / $17.98
| Professional | | $3.53 | $4.78 | $17.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.78 / $7.97 / $7.97
| Facility | | $4.78 | $7.97 | $7.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $7.97 / $7.97
| Professional | | $5.82 | $7.97 | $7.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.57 / $16.84 / $80.87
| Facility | | $5.57 | $16.84 | $80.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.86 / $9.13 / $66.00
| Professional | | $5.86 | $9.13 | $66.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $10.36 / $332.00
| Facility | | $3.00 | $10.36 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $4.78 / $14.59
| Professional | | $3.19 | $4.78 | $14.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $7.97 / $10.58
| Professional | | $6.77 | $7.97 | $10.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $19.59 / $106.03
| Facility | | $9.73 | $19.59 | $106.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $7.01 / $16.42
| Professional | | $5.51 | $7.01 | $16.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.35 / $4.38 / $11.71
| Professional | | $3.35 | $4.38 | $11.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.17 / $9.17 / $29.37
| Facility | | $9.17 | $9.17 | $29.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.03 / $8.91 / $20.13
| Professional | | $7.03 | $8.91 | $20.13 |