- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.71 / $14.12 / $52.03
| Facility | | $3.71 | $14.12 | $52.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.44 / $4.05 / $7.58
| Professional | | $3.44 | $4.05 | $7.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $2.31 / $2.78
| Professional | | $2.31 | $2.31 | $2.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.08 / $11.19 / $293.00
| Facility | | $5.08 | $11.19 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $3.65 / $10.80
| Professional | | $2.29 | $3.65 | $10.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $41.15 / $80.94
| Facility | | $11.68 | $41.15 | $80.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $4.11 / $22.27
| Professional | | $2.88 | $4.11 | $22.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.22 / $6.10 / $15.55
| Facility | | $3.22 | $6.10 | $15.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $5.74 / $7.80
| Professional | | $3.01 | $5.74 | $7.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $4.63 / $7.42
| Professional | | $4.12 | $4.63 | $7.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.71 / $4.63 / $10.11
| Professional | | $3.71 | $4.63 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $2.78 / $2.78
| Professional | | $2.78 | $2.78 | $2.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.84 / $5.54 / $13.33
| Facility | | $3.84 | $5.54 | $13.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $4.98 / $9.27
| Professional | | $3.40 | $4.98 | $9.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.28 / $16.28 / $16.28
| Professional | | $16.28 | $16.28 | $16.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.71 / $4.63 / $6.50
| Professional | | $3.71 | $4.63 | $6.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $2.78 / $9.31
| Professional | | $1.95 | $2.78 | $9.31 |