- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $10.29 / $17.73
| Facility | | $5.00 | $10.29 | $17.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $5.13 / $5.88
| Professional | | $4.37 | $5.13 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.88 / $5.88 / $15.29
| Facility | | $5.88 | $5.88 | $15.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $3.55 / $13.27
| Professional | | $2.81 | $3.55 | $13.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.53 / $5.88 / $5.88
| Facility | | $3.53 | $5.88 | $5.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $5.88 / $5.88
| Professional | | $4.29 | $5.88 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.11 / $12.00 / $59.88
| Facility | | $4.11 | $12.00 | $59.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $6.57 / $38.57
| Professional | | $4.34 | $6.57 | $38.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $8.65 / $332.00
| Facility | | $5.00 | $8.65 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $3.53 / $10.76
| Professional | | $2.35 | $3.53 | $10.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.88 / $7.81
| Professional | | $5.00 | $5.88 | $7.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.30 / $23.44 / $28.00
| Facility | | $22.30 | $23.44 | $28.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.19 / $14.46 / $78.50
| Facility | | $7.19 | $14.46 | $78.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $8.09 / $20.00
| Professional | | $4.72 | $8.09 | $20.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $3.53 / $8.82
| Professional | | $2.47 | $3.53 | $8.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $21.67
| Facility | | $6.76 | $6.76 | $21.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $6.58 / $8.89
| Professional | | $5.19 | $6.58 | $8.89 |