- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $2.60 / $25.54
| Facility | | $2.37 | $2.60 | $25.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $4.00 / $25.54
| Professional | | $2.37 | $4.00 | $25.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $3.42 / $5.79
| Facility | | $2.88 | $3.42 | $5.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $3.93 / $8.23
| Professional | | $3.93 | $3.93 | $8.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $13.06 / $18.73
| Facility | | $9.30 | $13.06 | $18.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $22.37 / $33.26
| Professional | | $10.29 | $22.37 | $33.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $4.51 / $4.51
| Professional | | $4.51 | $4.51 | $4.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.85 / $9.74 / $11.95
| Professional | | $8.85 | $9.74 | $11.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $11.06 / $20.36
| Professional | | $4.00 | $11.06 | $20.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.97 / $80.00 / $85.00
| Facility | | $17.97 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.05 / $50.22 / $66.38
| Professional | | $49.05 | $50.22 | $66.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.34 / $8.85 / $12.01
| Facility | | $6.34 | $8.85 | $12.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $4.51 / $9.46
| Professional | | $4.51 | $4.51 | $9.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.70 / $16.70 / $16.70
| Professional | | $16.70 | $16.70 | $16.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $7.97
| Professional | | $7.08 | $7.08 | $7.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.00 / $11.47
| Professional | | $3.47 | $4.00 | $11.47 |