- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.21 / $57.25 / $90.85
| Facility | | $6.21 | $57.25 | $90.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $2.68 / $14.00
| Professional | | $1.93 | $2.68 | $14.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.56 / $2.02
| Professional | | $1.35 | $1.56 | $2.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.47 / $5.43 / $293.00
| Facility | | $2.47 | $5.43 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.11 / $1.77 / $5.29
| Professional | | $1.11 | $1.77 | $5.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.66 / $20.44 / $41.82
| Facility | | $5.66 | $20.44 | $41.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.39 / $1.99 / $4.38
| Professional | | $1.39 | $1.99 | $4.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.56 / $2.95 / $7.74
| Facility | | $1.56 | $2.95 | $7.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.51 / $2.87 / $3.74
| Professional | | $1.51 | $2.87 | $3.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.96 / $2.25 / $3.60
| Professional | | $1.96 | $2.25 | $3.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $2.25 / $5.00
| Professional | | $1.80 | $2.25 | $5.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.79 / $60.00 / $60.00
| Facility | | $21.79 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $3.18 / $4.48
| Professional | | $2.59 | $3.18 | $4.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.86 / $2.62 / $6.43
| Facility | | $1.86 | $2.62 | $6.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.50 / $4.50
| Professional | | $1.66 | $2.50 | $4.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.89 / $7.89 / $7.89
| Professional | | $7.89 | $7.89 | $7.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $2.25 / $3.15
| Professional | | $1.80 | $2.25 | $3.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.88 / $4.32
| Professional | | $1.35 | $1.88 | $4.32 |