- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.82 / $20.27 / $83.32
| Facility | | $6.82 | $20.27 | $83.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $14.52 / $29.04
| Professional | | $6.26 | $14.52 | $29.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $8.02 / $20.85
| Facility | | $8.02 | $8.02 | $20.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.12 / $3.96 / $12.38
| Professional | | $2.12 | $3.96 | $12.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $8.02 / $8.02
| Facility | | $4.80 | $8.02 | $8.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.85 / $8.02 / $8.02
| Professional | | $5.85 | $8.02 | $8.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.60 / $16.26 / $44.98
| Facility | | $5.60 | $16.26 | $44.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.07 / $9.13 / $140.00
| Professional | | $6.07 | $9.13 | $140.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $16.84 / $332.00
| Facility | | $9.61 | $16.84 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.67 / $4.80 / $14.68
| Professional | | $3.67 | $4.80 | $14.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.96 / $5.96 / $5.96
| Facility | | $5.96 | $5.96 | $5.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $6.82 / $9.01
| Professional | | $3.97 | $6.82 | $9.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $5.62
| Professional | | $5.62 | $5.62 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $11.09 / $35.72
| Facility | | $6.46 | $11.09 | $35.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $19.59 / $110.01
| Facility | | $9.73 | $19.59 | $110.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.16 / $8.57 / $74.37
| Professional | | $6.16 | $8.57 | $74.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.37 / $4.80 / $11.78
| Professional | | $3.37 | $4.80 | $11.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $9.22 / $15.73
| Facility | | $9.22 | $9.22 | $15.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.85 / $7.62 / $15.73
| Professional | | $3.85 | $7.62 | $15.73 |