- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.87 / $30.40 / $71.81
| Facility | | $4.87 | $30.40 | $71.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $4.65 / $37.38
| Professional | | $4.04 | $4.65 | $37.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.44 / $10.44 / $10.44
| Facility | | $10.44 | $10.44 | $10.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $9.14 / $11.42
| Professional | | $5.78 | $9.14 | $11.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.96 / $11.98 / $141.54
| Facility | | $4.96 | $11.98 | $141.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $3.62 / $10.65
| Professional | | $3.11 | $3.62 | $10.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.69 / $10.55 / $11.50
| Facility | | $6.69 | $10.55 | $11.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.69 / $11.19 / $13.52
| Professional | | $6.69 | $11.19 | $13.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $12.48 / $14.23
| Professional | | $8.44 | $12.48 | $14.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $3.62 / $6.22
| Professional | | $2.18 | $3.62 | $6.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $5.18 / $5.18
| Professional | | $5.18 | $5.18 | $5.18 |