- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $15.71 / $39.14
| Facility | | $4.51 | $15.71 | $39.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $5.11 / $20.23
| Professional | | $4.51 | $5.11 | $20.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.39 / $14.06 / $293.00
| Facility | | $6.39 | $14.06 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $4.47 / $10.35
| Professional | | $2.33 | $4.47 | $10.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.39 / $38.02 / $74.44
| Facility | | $11.39 | $38.02 | $74.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $3.78 / $27.98
| Professional | | $2.65 | $3.78 | $27.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.79 / $7.66 / $19.07
| Facility | | $3.79 | $7.66 | $19.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $6.38 / $8.44
| Professional | | $3.06 | $6.38 | $8.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $5.83 / $9.33
| Professional | | $4.72 | $5.83 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $5.83 / $11.37
| Professional | | $4.66 | $5.83 | $11.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $85.00 / $85.00
| Facility | | $85.00 | $85.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.44 / $5.83 / $13.95
| Facility | | $4.44 | $5.83 | $13.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $5.36 / $5.87
| Professional | | $3.06 | $5.36 | $5.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.23 / $13.23 / $13.23
| Professional | | $13.23 | $13.23 | $13.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $5.21 / $6.51
| Professional | | $4.66 | $5.21 | $6.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $3.67 / $9.83
| Professional | | $3.50 | $3.67 | $9.83 |