- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $44.20 / $114.98
| Facility | | $9.02 | $44.20 | $114.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $5.95 / $11.64
| Professional | | $4.00 | $5.95 | $11.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $4.63 / $5.12
| Professional | | $3.21 | $4.63 | $5.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.35 / $20.77 / $38.18
| Facility | | $7.35 | $20.77 | $38.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $5.00 / $6.68
| Professional | | $3.54 | $5.00 | $6.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.68 / $10.64 / $39.53
| Facility | | $6.68 | $10.64 | $39.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.33 / $10.69
| Professional | | $5.01 | $6.33 | $10.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.68 / $6.78 / $6.78
| Facility | | $6.68 | $6.78 | $6.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.67 / $14.67 / $34.39
| Facility | | $4.67 | $14.67 | $34.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $4.87 / $11.49
| Professional | | $3.54 | $4.87 | $11.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.34 / $6.68 / $10.26
| Facility | | $5.34 | $6.68 | $10.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $6.68 / $8.69
| Professional | | $6.01 | $6.68 | $8.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.34 / $6.68 / $16.79
| Facility | | $5.34 | $6.68 | $16.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $5.14 / $9.65
| Professional | | $3.54 | $5.14 | $9.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $3.85 / $5.68
| Professional | | $2.81 | $3.85 | $5.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $3.30 / $6.68
| Professional | | $2.61 | $3.30 | $6.68 |