- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.76 / $19.16 / $34.34
| Facility | | $9.76 | $19.16 | $34.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $10.24 / $12.05
| Professional | | $6.57 | $10.24 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $31.33
| Facility | | $12.05 | $12.05 | $31.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $6.14 / $22.03
| Professional | | $4.82 | $6.14 | $22.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.23 / $12.05 / $12.05
| Facility | | $7.23 | $12.05 | $12.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.80 / $12.05 / $12.05
| Professional | | $8.80 | $12.05 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.92 / $15.97 / $29.73
| Facility | | $7.92 | $15.97 | $29.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $17.04 / $58.08
| Professional | | $6.75 | $17.04 | $58.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.71 / $17.35 / $332.00
| Facility | | $10.71 | $17.35 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $7.11 / $22.53
| Professional | | $4.82 | $7.11 | $22.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $11.45 / $13.75
| Professional | | $7.55 | $11.45 | $13.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.61 / $16.88 / $53.68
| Facility | | $10.61 | $16.88 | $53.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $25.45 / $555.00
| Facility | | $8.52 | $25.45 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.51 / $24.82
| Professional | | $7.83 | $11.51 | $24.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.30 / $17.70
| Professional | | $5.05 | $6.30 | $17.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.86 / $13.86 / $17.02
| Facility | | $13.86 | $13.86 | $17.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $12.05 / $14.48
| Professional | | $7.55 | $12.05 | $14.48 |