- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.36 / $13.56 / $22.09
| Facility | | $7.36 | $13.56 | $22.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $6.59 / $8.99
| Professional | | $5.75 | $6.59 | $8.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.75 / $7.75 / $20.14
| Facility | | $7.75 | $7.75 | $20.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.70 / $4.68 / $17.48
| Professional | | $3.70 | $4.68 | $17.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.65 / $7.75 / $7.75
| Facility | | $4.65 | $7.75 | $7.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.66 / $7.75 / $7.75
| Professional | | $5.66 | $7.75 | $7.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.42 / $15.55 / $80.87
| Facility | | $5.42 | $15.55 | $80.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.86 / $8.77 / $49.59
| Professional | | $5.86 | $8.77 | $49.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $10.08 / $332.00
| Facility | | $3.50 | $10.08 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $4.65 / $14.18
| Professional | | $3.10 | $4.65 | $14.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $7.44 / $9.31
| Professional | | $6.33 | $7.44 | $9.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.31 / $18.73 / $106.03
| Facility | | $9.31 | $18.73 | $106.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $9.09 / $15.97
| Professional | | $6.13 | $9.09 | $15.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $4.65 / $12.01
| Professional | | $3.26 | $4.65 | $12.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $8.91 / $28.56
| Facility | | $8.91 | $8.91 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $8.11 / $10.29
| Professional | | $6.33 | $8.11 | $10.29 |