- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $8.78 / $16.32
| Facility | | $4.26 | $8.78 | $16.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $5.86 / $8.24
| Professional | | $3.72 | $5.86 | $8.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $13.05
| Facility | | $5.01 | $5.01 | $13.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.03 / $10.65
| Professional | | $2.50 | $3.03 | $10.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.01 / $5.01 / $5.01
| Facility | | $3.01 | $5.01 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.66 / $5.01 / $5.01
| Professional | | $3.66 | $5.01 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.51 / $9.89 / $12.67
| Facility | | $3.51 | $9.89 | $12.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.69 / $5.78 / $24.20
| Professional | | $3.69 | $5.78 | $24.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.09 / $7.09 / $332.00
| Facility | | $4.09 | $7.09 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.01 / $9.19
| Professional | | $2.00 | $3.01 | $9.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $4.82 / $6.45
| Professional | | $4.09 | $4.82 | $6.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.36 / $22.36 / $23.44
| Facility | | $22.36 | $22.36 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.97 / $11.91 / $66.78
| Facility | | $5.97 | $11.91 | $66.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $6.90 / $10.49
| Professional | | $4.01 | $6.90 | $10.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.26 / $9.27
| Professional | | $2.25 | $3.26 | $9.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.77 / $5.77 / $16.89
| Facility | | $5.77 | $5.77 | $16.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.64 / $7.21
| Professional | | $4.09 | $5.64 | $7.21 |