- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.64 / $10.96 / $18.92
| Facility | | $5.64 | $10.96 | $18.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $5.64 / $28.20
| Professional | | $4.32 | $5.64 | $28.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.64 / $6.64 / $17.26
| Facility | | $6.64 | $6.64 | $17.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $3.98 / $14.28
| Professional | | $2.80 | $3.98 | $14.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $6.64 / $6.64
| Facility | | $3.98 | $6.64 | $6.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.64 / $6.64
| Professional | | $4.84 | $6.64 | $6.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.63 / $13.43 / $62.53
| Facility | | $4.63 | $13.43 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.99 / $7.31 / $42.25
| Professional | | $4.99 | $7.31 | $42.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $9.96 / $332.00
| Facility | | $6.00 | $9.96 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.03 / $3.98 / $12.15
| Professional | | $3.03 | $3.98 | $12.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $4.55 / $4.55
| Facility | | $4.55 | $4.55 | $4.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $6.31 / $7.98
| Professional | | $4.55 | $6.31 | $7.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $16.18 / $90.33
| Facility | | $8.03 | $16.18 | $90.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $7.99 / $17.00
| Professional | | $5.33 | $7.99 | $17.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $3.98 / $9.75
| Professional | | $2.79 | $3.98 | $9.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.64 / $7.64 / $24.42
| Facility | | $7.64 | $7.64 | $24.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.81 / $7.18 / $8.81
| Professional | | $5.81 | $7.18 | $8.81 |