- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.89 / $3.24 / $6.29
| Facility | | $2.89 | $3.24 | $6.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $3.24 / $6.29
| Professional | | $2.31 | $3.24 | $6.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $4.38 / $8.73
| Professional | | $3.33 | $4.38 | $8.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.15 / $5.54 / $5.54
| Facility | | $5.15 | $5.54 | $5.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $5.54 / $5.54
| Professional | | $5.54 | $5.54 | $5.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $4.00 / $4.23
| Facility | | $4.00 | $4.00 | $4.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $3.40 / $4.70
| Professional | | $3.40 | $3.40 | $4.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.65 / $14.96 / $332.00
| Facility | | $6.65 | $14.96 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.79 / $11.77
| Professional | | $3.80 | $4.79 | $11.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.18 / $3.18 / $3.18
| Facility | | $3.18 | $3.18 | $3.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $4.80 / $4.80
| Professional | | $3.18 | $4.80 | $4.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $3.01 / $3.01
| Professional | | $3.01 | $3.01 | $3.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $4.26 / $4.26
| Professional | | $4.26 | $4.26 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $4.00 / $555.00
| Facility | | $4.00 | $4.00 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $4.07 / $9.84
| Professional | | $3.40 | $4.07 | $9.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $3.32 / $5.70
| Professional | | $2.21 | $3.32 | $5.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.75 / $4.80 / $4.80
| Facility | | $4.75 | $4.80 | $4.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $4.80 / $4.80
| Professional | | $3.18 | $4.80 | $4.80 |