- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $17.82 / $37.26
| Facility | | $8.65 | $17.82 | $37.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $9.61 / $18.14
| Professional | | $4.32 | $9.61 | $18.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $10.18 / $26.47
| Facility | | $10.18 | $10.18 | $26.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.27 / $17.07
| Professional | | $3.16 | $5.27 | $17.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.11 / $10.18 / $10.18
| Facility | | $6.11 | $10.18 | $10.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $10.18 / $10.18
| Professional | | $7.43 | $10.18 | $10.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.11 / $21.52 / $62.53
| Facility | | $7.11 | $21.52 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $11.32 / $64.27
| Professional | | $7.59 | $11.32 | $64.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $13.23 / $332.00
| Facility | | $5.50 | $13.23 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.65 / $6.11 / $18.63
| Professional | | $4.65 | $6.11 | $18.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Facility | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $9.77 / $12.96
| Professional | | $8.11 | $9.77 | $12.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.27 / $24.70 / $137.43
| Facility | | $12.27 | $24.70 | $137.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $8.86 / $20.97
| Professional | | $5.48 | $8.86 | $20.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $5.25 / $15.27
| Professional | | $4.28 | $5.25 | $15.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.71 / $11.71 / $35.95
| Facility | | $11.71 | $11.71 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $10.91 / $13.02
| Professional | | $8.65 | $10.91 | $13.02 |