- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.39 / $47.57 / $80.37
| Facility | | $6.39 | $47.57 | $80.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $4.67 / $9.36
| Professional | | $3.89 | $4.67 | $9.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $3.59 / $7.30
| Professional | | $1.42 | $3.59 | $7.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $17.77 / $20.07
| Facility | | $8.77 | $17.77 | $20.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.37 / $3.37 / $3.37
| Professional | | $3.37 | $3.37 | $3.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.54 / $5.47 / $13.34
| Facility | | $3.54 | $5.47 | $13.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $5.60 / $11.57
| Professional | | $3.33 | $5.60 | $11.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $4.51 / $10.11
| Facility | | $4.01 | $4.51 | $10.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $7.41 / $10.00
| Professional | | $6.48 | $7.41 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.54 / $178.54 / $411.09
| Facility | | $178.54 | $178.54 | $411.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $3.53 / $7.06
| Professional | | $2.59 | $3.53 | $7.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.66 / $60.00 / $100.00
| Facility | | $24.66 | $60.00 | $100.00 |