- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.42 / $6.23 / $10.64
| Facility | | $4.42 | $6.23 | $10.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $6.23 / $9.61
| Professional | | $4.42 | $6.23 | $9.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $4.36 / $16.28
| Professional | | $4.36 | $4.36 | $16.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.88 / $8.47 / $8.47
| Facility | | $7.88 | $8.47 | $8.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $8.47 / $8.47
| Professional | | $8.47 | $8.47 | $8.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.90 / $11.90 / $11.90
| Facility | | $11.90 | $11.90 | $11.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $5.19 / $5.19
| Professional | | $5.19 | $5.19 | $5.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.16 / $18.59 / $332.00
| Facility | | $10.16 | $18.59 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $13.72 / $22.05
| Professional | | $10.16 | $13.72 | $22.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.60 / $3.60 / $5.88
| Facility | | $3.60 | $3.60 | $5.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $5.88 / $6.24
| Professional | | $3.60 | $5.88 | $6.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.90 / $11.90 / $597.00
| Facility | | $11.90 | $11.90 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $5.19 / $17.41
| Professional | | $5.19 | $5.19 | $17.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.38 / $6.10 / $12.81
| Professional | | $3.38 | $6.10 | $12.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.88 / $5.88 / $7.27
| Facility | | $5.88 | $5.88 | $7.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $5.88 / $6.24
| Professional | | $3.60 | $5.88 | $6.24 |