- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $14.05 / $45.06
| Facility | | $5.18 | $14.05 | $45.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.42 / $6.03
| Professional | | $5.13 | $5.42 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $6.03 / $15.68
| Facility | | $6.03 | $6.03 | $15.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $3.64 / $13.60
| Professional | | $2.88 | $3.64 | $13.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $6.03 / $6.03
| Facility | | $3.62 | $6.03 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $6.03 / $6.03
| Professional | | $4.40 | $6.03 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.21 / $12.00 / $62.91
| Facility | | $4.21 | $12.00 | $62.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $6.94 / $38.57
| Professional | | $4.55 | $6.94 | $38.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $8.19 / $332.00
| Facility | | $4.00 | $8.19 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $3.62 / $11.03
| Professional | | $2.76 | $3.62 | $11.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $6.03 / $6.03
| Facility | | $6.03 | $6.03 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.32 / $6.03 / $7.78
| Professional | | $5.32 | $6.03 | $7.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $11.76 / $29.29
| Facility | | $4.79 | $11.76 | $29.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $4.01 / $4.01
| Professional | | $3.98 | $4.01 | $4.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.19 / $14.46 / $82.48
| Facility | | $7.19 | $14.46 | $82.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.74 / $6.94 / $12.42
| Professional | | $4.74 | $6.94 | $12.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.62 / $9.02
| Professional | | $2.52 | $3.62 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.93 / $6.93 / $22.24
| Facility | | $6.93 | $6.93 | $22.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.32 / $6.77 / $8.01
| Professional | | $5.32 | $6.77 | $8.01 |