- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.32 / $14.64 / $35.89
| Facility | | $7.32 | $14.64 | $35.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $7.68 / $12.91
| Professional | | $6.39 | $7.68 | $12.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $8.61 / $22.39
| Facility | | $8.61 | $8.61 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.95 / $5.16 / $18.30
| Professional | | $3.95 | $5.16 | $18.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.17 / $8.61 / $8.61
| Facility | | $5.17 | $8.61 | $8.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $8.61 / $8.61
| Professional | | $6.29 | $8.61 | $8.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.02 / $17.97 / $89.89
| Facility | | $6.02 | $17.97 | $89.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $9.91 / $49.60
| Professional | | $6.51 | $9.91 | $49.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $12.05 / $332.00
| Facility | | $6.50 | $12.05 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $8.61 / $15.76
| Professional | | $3.93 | $8.61 | $15.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $8.18 / $9.67
| Professional | | $5.79 | $8.18 | $9.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.93 / $21.52 / $142.69
| Facility | | $6.93 | $21.52 | $142.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.58 / $21.29 / $117.86
| Facility | | $10.58 | $21.29 | $117.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $11.83 / $49.60
| Professional | | $6.91 | $11.83 | $49.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $5.25 / $15.69
| Professional | | $4.36 | $5.25 | $15.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.90 / $9.90 / $23.65
| Facility | | $9.90 | $9.90 | $23.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $8.27 / $10.35
| Professional | | $5.79 | $8.27 | $10.35 |