- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.35 / $13.55 / $25.16
| Facility | | $7.35 | $13.55 | $25.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $4.72 / $7.74
| Professional | | $3.89 | $4.72 | $7.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.74 / $7.74 / $20.12
| Facility | | $7.74 | $7.74 | $20.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.94 / $12.85
| Professional | | $2.54 | $3.94 | $12.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.63 / $7.74 / $7.74
| Facility | | $4.63 | $7.74 | $7.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.65 / $7.74 / $7.74
| Professional | | $5.65 | $7.74 | $7.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.41 / $15.55 / $56.21
| Facility | | $5.41 | $15.55 | $56.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $7.67 / $37.31
| Professional | | $4.01 | $7.67 | $37.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $10.06 / $332.00
| Facility | | $3.50 | $10.06 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $4.63 / $14.16
| Professional | | $3.10 | $4.63 | $14.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $6.94 / $8.58
| Professional | | $4.72 | $6.94 | $8.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.11 / $12.00 / $27.90
| Facility | | $5.11 | $12.00 | $27.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.28 / $18.73 / $86.35
| Facility | | $9.28 | $18.73 | $86.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.15 / $8.77 / $12.00
| Professional | | $4.15 | $8.77 | $12.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.28 / $11.37
| Professional | | $3.25 | $4.28 | $11.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.90 / $8.90 / $19.27
| Facility | | $8.90 | $8.90 | $19.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $7.35 / $9.30
| Professional | | $4.72 | $7.35 | $9.30 |