- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $7.75 / $51.38
| Professional | | $6.39 | $7.75 | $51.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.44 / $8.75 / $12.76
| Facility | | $7.44 | $8.75 | $12.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $10.19 / $22.72
| Professional | | $6.48 | $10.19 | $22.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $7.08 / $24.62
| Professional | | $4.96 | $7.08 | $24.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.30 / $19.30 / $19.30
| Facility | | $19.30 | $19.30 | $19.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.31 / $8.55 / $28.26
| Professional | | $5.31 | $8.55 | $28.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $7.99 / $10.79
| Professional | | $7.10 | $7.99 | $10.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $8.78 / $13.98
| Professional | | $7.19 | $8.78 | $13.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.13 / $70.00 / $100.00
| Facility | | $22.13 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $107.00 / $107.00 / $107.00
| Professional | | $107.00 | $107.00 | $107.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.99 / $7.99 / $7.99
| Professional | | $7.99 | $7.99 | $7.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.15 / $12.78 / $24.26
| Facility | | $8.15 | $12.78 | $24.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $9.99 / $22.56
| Professional | | $5.79 | $9.99 | $22.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.04 / $28.04 / $28.04
| Professional | | $28.04 | $28.04 | $28.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $6.39 / $106.50
| Professional | | $6.39 | $6.39 | $106.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.00 / $21.00 / $21.00
| Facility | | $21.00 | $21.00 | $21.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $6.79 / $17.76
| Professional | | $4.79 | $6.79 | $17.76 |