- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $27.54 / $97.72
| Facility | | $4.57 | $27.54 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.91 / $43.65
| Professional | | $7.08 | $8.91 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $6.46 / $9.77
| Professional | | $4.90 | $6.46 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $22.39 / $48.98
| Facility | | $5.62 | $22.39 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $8.32 / $28.18
| Professional | | $4.79 | $8.32 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $61.66 / $131.83
| Facility | | $21.88 | $61.66 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $10.96 / $28.18
| Professional | | $7.76 | $10.96 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $16.22 / $35.48
| Facility | | $6.46 | $16.22 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $9.77 / $15.85
| Professional | | $5.75 | $9.77 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $9.77 / $15.49
| Professional | | $8.71 | $9.77 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $9.77 / $21.88
| Professional | | $7.76 | $9.77 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $100.00
| Facility | | $60.26 | $60.26 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $11.75 / $11.75
| Professional | | $5.75 | $11.75 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $11.75 / $30.20
| Facility | | $7.94 | $11.75 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $9.12 / $22.39
| Professional | | $5.75 | $9.12 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $33.88
| Professional | | $33.88 | $33.88 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $10.00 / $16.60
| Professional | | $7.76 | $10.00 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $6.61 / $9.77
| Facility | | $4.37 | $6.61 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.89 / $19.50
| Professional | | $4.07 | $5.89 | $19.50 |