- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.83 / $27.83 / $114.70
| Facility | | $5.83 | $27.83 | $114.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $6.86 / $13.42
| Professional | | $4.50 | $6.86 | $13.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.70 / $5.35 / $5.91
| Professional | | $3.70 | $5.35 | $5.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.64 / $25.52 / $46.18
| Facility | | $9.64 | $25.52 | $46.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.00 / $7.56
| Professional | | $4.09 | $5.00 | $7.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.71 / $12.34 / $47.28
| Facility | | $7.71 | $12.34 | $47.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.40 / $7.64 / $11.57
| Professional | | $5.40 | $7.64 | $11.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.56 / $7.56 / $7.71
| Facility | | $7.56 | $7.56 | $7.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $16.93 / $38.34
| Facility | | $5.39 | $16.93 | $38.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.60 / $13.13
| Professional | | $4.09 | $5.60 | $13.13 |
- 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
- $6.17 / $7.71 / $10.02
| Facility | | $6.17 | $7.71 | $10.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $7.71 / $10.03
| Professional | | $6.94 | $7.71 | $10.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.18 / $7.71 / $19.23
| Facility | | $6.18 | $7.71 | $19.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.65 / $11.05
| Professional | | $4.09 | $5.65 | $11.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.42 / $6.56
| Professional | | $3.24 | $4.42 | $6.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $3.80 / $7.71
| Professional | | $3.01 | $3.80 | $7.71 |