- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.24 / $11.32 / $18.12
| Facility | | $5.24 | $11.32 | $18.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $5.77 / $6.47
| Professional | | $4.80 | $5.77 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $16.82
| Facility | | $6.47 | $6.47 | $16.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $3.91 / $14.59
| Professional | | $3.09 | $3.91 | $14.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.88 / $6.47 / $6.47
| Facility | | $3.88 | $6.47 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $6.47 / $6.47
| Professional | | $4.72 | $6.47 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $13.66 / $65.86
| Facility | | $4.51 | $13.66 | $65.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $7.31 / $42.25
| Professional | | $4.76 | $7.31 | $42.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $8.41 / $332.00
| Facility | | $4.00 | $8.41 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.96 / $3.88 / $11.84
| Professional | | $2.96 | $3.88 | $11.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $6.47
| Facility | | $6.47 | $6.47 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $6.47 / $8.35
| Professional | | $5.71 | $6.47 | $8.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $16.18 / $86.35
| Facility | | $8.03 | $16.18 | $86.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $8.00 / $13.33
| Professional | | $5.14 | $8.00 | $13.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.88 / $9.71
| Professional | | $2.72 | $3.88 | $9.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.44 / $7.44 / $23.83
| Facility | | $7.44 | $7.44 | $23.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $7.00 / $8.59
| Professional | | $5.71 | $7.00 | $8.59 |