- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.84 / $53.39 / $157.18
| Facility | | $7.84 | $53.39 | $157.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.19 / $9.00 / $12.38
| Professional | | $6.19 | $9.00 | $12.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.95 / $6.19 / $7.17
| Professional | | $4.95 | $6.19 | $7.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.35 / $32.40 / $60.87
| Facility | | $11.35 | $32.40 | $60.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.50 / $10.32
| Professional | | $5.00 | $5.50 | $10.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $23.22 / $63.32
| Facility | | $10.32 | $23.22 | $63.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $10.32 / $16.07
| Professional | | $7.22 | $10.32 | $16.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $10.84 / $10.84
| Facility | | $10.32 | $10.84 | $10.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.21 / $22.68 / $51.55
| Facility | | $7.21 | $22.68 | $51.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.58 / $17.51
| Professional | | $5.47 | $7.58 | $17.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $62.50 / $100.00
| Facility | | $50.00 | $62.50 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $10.32 / $15.51
| Facility | | $8.26 | $10.32 | $15.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $10.32 / $11.39
| Professional | | $9.28 | $10.32 | $11.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $10.32 / $25.95
| Facility | | $8.26 | $10.32 | $25.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.94 / $12.68
| Professional | | $5.47 | $7.94 | $12.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $5.95 / $8.43
| Professional | | $4.33 | $5.95 | $8.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.09 / $10.32
| Professional | | $4.01 | $5.09 | $10.32 |