- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.18 / $23.68 / $87.70
| Facility | | $8.18 | $23.68 | $87.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.69 / $6.28 / $19.01
| Professional | | $4.69 | $6.28 | $19.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $8.61 / $22.39
| Facility | | $8.61 | $8.61 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $5.17 / $15.09
| Professional | | $3.29 | $5.17 | $15.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.17 / $8.61 / $8.61
| Facility | | $5.17 | $8.61 | $8.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $8.61 / $8.61
| Professional | | $6.29 | $8.61 | $8.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.02 / $17.67 / $68.01
| Facility | | $6.02 | $17.67 | $68.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $8.97 / $13.73
| Professional | | $4.13 | $8.97 | $13.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $11.19 / $332.00
| Facility | | $1.00 | $11.19 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $7.15 / $15.76
| Professional | | $3.93 | $7.15 | $15.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.02 / $2.02 / $2.02
| Facility | | $2.02 | $2.02 | $2.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $6.69 / $9.67
| Professional | | $2.02 | $6.69 | $9.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $1.52 / $1.62
| Professional | | $1.52 | $1.52 | $1.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.84 / $16.80 / $80.64
| Facility | | $6.84 | $16.80 | $80.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $5.74 / $5.74
| Professional | | $5.74 | $5.74 | $5.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.56 / $21.29 / $94.20
| Facility | | $10.56 | $21.29 | $94.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $8.97 / $16.23
| Professional | | $4.86 | $8.97 | $16.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $5.17 / $12.48
| Professional | | $3.87 | $5.17 | $12.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.90 / $9.90 / $23.30
| Facility | | $9.90 | $9.90 | $23.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $7.51 / $10.35
| Professional | | $5.17 | $7.51 | $10.35 |