- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $9.12 / $47.86
| Facility | | $3.31 | $9.12 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.02 / $17.78
| Professional | | $2.00 | $3.02 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $10.23
| Facility | | $3.89 | $3.89 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $2.04 / $9.33
| Professional | | $1.95 | $2.04 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.34 / $3.89 / $3.89
| Facility | | $2.34 | $3.89 | $3.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $3.89 / $3.89
| Professional | | $2.88 | $3.89 | $3.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $8.71 / $41.69
| Facility | | $2.75 | $8.71 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $5.62 / $57.54
| Professional | | $2.57 | $5.62 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $5.13 / $14.13
| Facility | | $3.47 | $5.13 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $2.75 / $7.59
| Professional | | $1.86 | $2.75 | $7.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $3.89
| Facility | | $3.89 | $3.89 | $3.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $3.89 / $5.25
| Professional | | $3.47 | $3.89 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $10.72 / $17.78
| Facility | | $3.39 | $10.72 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $7.41 / $50,118.72
| Facility | | $5.13 | $7.41 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.34 / $3.55 / $4.68
| Facility | | $2.34 | $3.55 | $4.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.75 / $6.03
| Professional | | $2.14 | $2.75 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.89 / $9.55
| Facility | | $3.31 | $3.89 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $4.17 / $12.88
| Professional | | $3.31 | $4.17 | $12.88 |