- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.14 / $12.76 / $31.35
| Facility | | $3.14 | $12.76 | $31.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $2.75 / $7.69
| Professional | | $2.52 | $2.75 | $7.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.53 / $3.05 / $61.00
| Professional | | $1.53 | $3.05 | $61.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.98 / $14.64 / $338.46
| Facility | | $4.98 | $14.64 | $338.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.30 / $19.87 / $8,639.91
| Facility | | $15.30 | $19.87 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.38 / $2.38 / $2.38
| Professional | | $2.38 | $2.38 | $2.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $4.04 / $9.77
| Facility | | $2.00 | $4.04 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $3.44 / $5.50
| Professional | | $1.86 | $3.44 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $2.02 / $4.13
| Professional | | $1.40 | $2.02 | $4.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.71 / $7.36 / $22.44
| Facility | | $5.71 | $7.36 | $22.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.83 / $3.00 / $5.01
| Professional | | $1.83 | $3.00 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.51 / $13.13 / $30.92
| Facility | | $3.51 | $13.13 | $30.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.14 / $8.28 / $34.14
| Facility | | $3.14 | $8.28 | $34.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $3.05 / $11.55
| Professional | | $2.41 | $3.05 | $11.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.69 / $17.23 / $23.98
| Facility | | $16.69 | $17.23 | $23.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $4.51 / $9.77
| Facility | | $2.04 | $4.51 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $3.44 / $5.50
| Professional | | $1.86 | $3.44 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.05 / $3.05 / $3.05
| Facility | | $3.05 | $3.05 | $3.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.68 / $3.05 / $4.33
| Professional | | $2.68 | $3.05 | $4.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.68 / $3.05 / $5.19
| Professional | | $1.68 | $3.05 | $5.19 |