- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.83 / $17.14 / $29.61
| Facility | | $8.83 | $17.14 | $29.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.93 / $7.20 / $10.39
| Professional | | $5.93 | $7.20 | $10.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.39 / $10.39 / $27.01
| Facility | | $10.39 | $10.39 | $27.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.38 / $18.98
| Professional | | $3.89 | $5.38 | $18.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.23 / $10.39 / $10.39
| Facility | | $6.23 | $10.39 | $10.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $10.39 / $10.39
| Professional | | $7.58 | $10.39 | $10.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.26 / $21.20 / $85.83
| Facility | | $7.26 | $21.20 | $85.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $10.59 / $63.13
| Professional | | $6.14 | $10.59 | $63.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $13.51 / $332.00
| Facility | | $6.50 | $13.51 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.16 / $6.23 / $19.01
| Professional | | $4.16 | $6.23 | $19.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $9.49 / $11.67
| Professional | | $7.22 | $9.49 | $11.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.70 / $25.54 / $113.88
| Facility | | $12.70 | $25.54 | $113.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $11.98 / $25.00
| Professional | | $6.33 | $11.98 | $25.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $5.71 / $15.07
| Professional | | $3.68 | $5.71 | $15.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.95 / $11.95 / $29.43
| Facility | | $11.95 | $11.95 | $29.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $9.86 / $12.49
| Professional | | $7.22 | $9.86 | $12.49 |