- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $44.67 / $102.33
| Facility | | $7.41 | $44.67 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.51 / $14.13
| Professional | | $6.03 | $8.51 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $6.76 / $11.75
| Professional | | $4.68 | $6.76 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $31.62 / $57.54
| Facility | | $11.48 | $31.62 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.50 / $9.77
| Professional | | $5.01 | $5.50 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $11.22 / $13.18
| Facility | | $8.91 | $11.22 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $10.00 / $16.60
| Professional | | $6.76 | $10.00 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $9.55 / $9.77
| Facility | | $9.55 | $9.55 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $21.38 / $52.48
| Facility | | $9.55 | $21.38 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $6.92 / $16.60
| Professional | | $5.13 | $6.92 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $100.00 / $100.00
| Facility | | $60.26 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $9.77 / $72.44
| Facility | | $7.41 | $9.77 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $8.71 / $14.79
| Professional | | $5.13 | $8.71 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $8.13 / $8.13
| Professional | | $7.24 | $8.13 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $208.93
| Facility | | $151.36 | $151.36 | $208.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $9.77 / $28.18
| Facility | | $7.76 | $9.77 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.08 / $16.60
| Professional | | $5.50 | $7.08 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $6.46 / $9.77
| Facility | | $3.47 | $6.46 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.75 / $8.32
| Professional | | $4.07 | $5.75 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $3.80 / $3.80
| Professional | | $3.80 | $3.80 | $3.80 |