- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.83 / $41.60 / $85.50
| Facility | | $6.83 | $41.60 | $85.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.30 / $5.87 / $41.00
| Professional | | $4.30 | $5.87 | $41.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.24 / $4.49
| Professional | | $3.24 | $3.24 | $4.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.09 / $15.61 / $293.00
| Facility | | $7.09 | $15.61 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $4.51 / $15.08
| Professional | | $3.19 | $4.51 | $15.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.51 / $54.60 / $97.40
| Facility | | $16.51 | $54.60 | $97.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $5.08 / $31.06
| Professional | | $3.56 | $5.08 | $31.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.49 / $8.50 / $21.68
| Facility | | $4.49 | $8.50 | $21.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.24 / $7.85 / $11.44
| Professional | | $4.24 | $7.85 | $11.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.32 / $6.47 / $10.35
| Professional | | $5.32 | $6.47 | $10.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $14.88
| Professional | | $5.18 | $6.47 | $14.88 |
- 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
- $3.88 / $3.88 / $3.88
| Professional | | $3.88 | $3.88 | $3.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $7.49 / $20.22
| Facility | | $5.37 | $7.49 | $20.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.41 / $6.47 / $12.94
| Professional | | $4.41 | $6.47 | $12.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.70 / $22.70 / $22.70
| Professional | | $22.70 | $22.70 | $22.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $9.06
| Professional | | $5.18 | $6.47 | $9.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.85 / $12.51
| Professional | | $2.72 | $3.85 | $12.51 |