- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $3.98 / $39.14
| Facility | | $3.63 | $3.98 | $39.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.70 / $6.11 / $39.14
| Professional | | $3.70 | $6.11 | $39.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.69 / $5.65 / $14.93
| Facility | | $4.69 | $5.65 | $14.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $6.52 / $12.62
| Professional | | $6.52 | $6.52 | $12.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.28 / $18.55 / $28.66
| Facility | | $14.28 | $18.55 | $28.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.33 / $29.11 / $51.01
| Professional | | $7.33 | $29.11 | $51.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.33 / $8.15 / $12.00
| Facility | | $3.33 | $8.15 | $12.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $6.93 / $8.78
| Professional | | $6.93 | $6.93 | $8.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.86 / $13.57 / $16.28
| Professional | | $10.86 | $13.57 | $16.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.14 / $9.50 / $21.03
| Professional | | $8.14 | $9.50 | $21.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.58 / $67.58 / $101.78
| Professional | | $67.58 | $67.58 | $101.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.71 / $11.98 / $13.57
| Facility | | $3.71 | $11.98 | $13.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $8.15 / $12.38
| Professional | | $6.93 | $8.15 | $12.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.60 / $25.60 / $25.60
| Professional | | $25.60 | $25.60 | $25.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.86 / $11.34 / $14.74
| Professional | | $10.86 | $11.34 | $14.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $5.75 / $13.33
| Professional | | $5.16 | $5.75 | $13.33 |