- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $20.80 / $52.47
| Facility | | $4.51 | $20.80 | $52.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $5.37 / $27.28
| Professional | | $4.51 | $5.37 | $27.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.93 / $42.90 / $293.00
| Facility | | $19.93 | $42.90 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $5.86 / $63.04
| Professional | | $3.86 | $5.86 | $63.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.80 / $39.15 / $74.44
| Facility | | $11.80 | $39.15 | $74.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $3.78 / $17.98
| Professional | | $2.65 | $3.78 | $17.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.36 / $23.40 / $49.60
| Facility | | $5.36 | $23.40 | $49.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $18.75 / $23.91
| Professional | | $7.97 | $18.75 | $23.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $18.19 / $29.10
| Professional | | $4.72 | $18.19 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.55 / $18.19 / $31.83
| Professional | | $14.55 | $18.19 | $31.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $86.40 / $86.40
| Facility | | $85.00 | $86.40 | $86.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.31 / $16.27 / $36.38
| Facility | | $7.31 | $16.27 | $36.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $8.78 / $18.19
| Professional | | $4.29 | $8.78 | $18.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.32 / $34.32 / $34.32
| Professional | | $34.32 | $34.32 | $34.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.73 / $6.22 / $16.37
| Professional | | $3.73 | $6.22 | $16.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.58 / $9.07 / $25.50
| Professional | | $3.58 | $9.07 | $25.50 |