- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $12.15 / $51.39
| Facility | | $4.34 | $12.15 | $51.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.48 / $4.51 / $6.60
| Professional | | $3.48 | $4.51 | $6.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $2.41 / $2.41
| Professional | | $2.41 | $2.41 | $2.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $13.05
| Facility | | $5.01 | $5.01 | $13.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.03 / $11.32
| Professional | | $2.42 | $3.03 | $11.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.01 / $5.01 / $5.01
| Facility | | $3.01 | $5.01 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.66 / $5.01 / $5.01
| Professional | | $3.66 | $5.01 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.51 / $9.89 / $50.93
| Facility | | $3.51 | $9.89 | $50.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $7.10 / $11.09
| Professional | | $3.86 | $7.10 | $11.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $7.03 / $332.00
| Facility | | $3.50 | $7.03 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $5.01 / $9.19
| Professional | | $2.31 | $5.01 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $5.01
| Facility | | $5.01 | $5.01 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $5.01 / $6.48
| Professional | | $4.26 | $5.01 | $6.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $2.50 / $3.01
| Professional | | $2.50 | $2.50 | $3.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.38 / $14.33 / $27.00
| Facility | | $3.38 | $14.33 | $27.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.97 / $11.91 / $66.78
| Facility | | $5.97 | $11.91 | $66.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $7.08 / $10.34
| Professional | | $3.97 | $7.08 | $10.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $3.01 / $7.53
| Professional | | $2.11 | $3.01 | $7.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.77 / $5.77 / $18.51
| Facility | | $5.77 | $5.77 | $18.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.43 / $6.67
| Professional | | $4.09 | $5.43 | $6.67 |