- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.91 / $2.09 / $20.54
| Facility | | $1.91 | $2.09 | $20.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $3.11 / $19.92
| Professional | | $1.94 | $3.11 | $19.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.34 / $5.34 / $7.12
| Professional | | $5.34 | $5.34 | $7.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $3.10 / $8.18
| Facility | | $2.57 | $3.10 | $8.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.57 / $3.57 / $6.62
| Professional | | $3.57 | $3.57 | $6.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $9.75 / $15.07
| Facility | | $7.51 | $9.75 | $15.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.85 / $15.28 / $26.76
| Professional | | $3.85 | $15.28 | $26.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.08 / $4.28 / $6.09
| Facility | | $4.08 | $4.28 | $6.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $3.64 / $4.86
| Professional | | $3.64 | $3.64 | $4.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $7.12 / $8.53
| Professional | | $5.70 | $7.12 | $8.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $4.98 / $11.04
| Professional | | $4.26 | $4.98 | $11.04 |
- 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
- $35.46 / $35.46 / $53.40
| Professional | | $35.46 | $35.46 | $53.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $21.38
| Professional | | $21.38 | $21.38 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $6.30 / $7.22
| Facility | | $1.95 | $6.30 | $7.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $4.28 / $6.77
| Professional | | $3.64 | $4.28 | $6.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.43 / $13.43 / $13.43
| Professional | | $13.43 | $13.43 | $13.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $8.33 / $10.83
| Professional | | $5.70 | $8.33 | $10.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.71 / $3.02 / $6.99
| Professional | | $2.71 | $3.02 | $6.99 |