- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.59 / $5.03 / $49.45
| Facility | | $4.59 | $5.03 | $49.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.34 / $40.00
| Professional | | $5.03 | $6.34 | $40.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.55 / $6.69 / $17.68
| Facility | | $5.55 | $6.69 | $17.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $7.72 / $15.94
| Professional | | $7.72 | $7.72 | $15.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.04 / $23.44 / $36.22
| Facility | | $18.04 | $23.44 | $36.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.26 / $36.79 / $64.45
| Professional | | $9.26 | $36.79 | $64.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.67 / $10.29 / $14.71
| Facility | | $7.67 | $10.29 | $14.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $11.11
| Professional | | $8.75 | $8.75 | $11.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.71 / $17.14 / $20.57
| Professional | | $13.71 | $17.14 | $20.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $12.00 / $26.57
| Professional | | $10.28 | $12.00 | $26.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $81.42 / $81.42
| Facility | | $80.00 | $81.42 | $81.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.36 / $85.36 / $347.55
| Professional | | $85.36 | $85.36 | $347.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.69 / $15.01 / $17.14
| Facility | | $4.69 | $15.01 | $17.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $10.29 / $16.32
| Professional | | $8.75 | $10.29 | $16.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.34 / $32.34 / $32.34
| Professional | | $32.34 | $32.34 | $32.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.46 / $13.71 / $15.43
| Professional | | $11.46 | $13.71 | $15.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.53 / $7.27 / $15.90
| Professional | | $6.53 | $7.27 | $15.90 |