- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.37 / $48.75 / $93.25
| Facility | | $7.37 | $48.75 | $93.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $4.30 / $16.22
| Professional | | $3.98 | $4.30 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $3.29 / $3.29
| Professional | | $2.85 | $3.29 | $3.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.20 / $11.46 / $293.00
| Facility | | $5.20 | $11.46 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $3.74 / $13.11
| Professional | | $2.34 | $3.74 | $13.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $42.30 / $82.93
| Facility | | $11.98 | $42.30 | $82.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.21 / $22.80
| Professional | | $2.95 | $4.21 | $22.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.29 / $6.24 / $15.91
| Facility | | $3.29 | $6.24 | $15.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.49 / $5.78 / $8.43
| Professional | | $3.49 | $5.78 | $8.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.19 / $4.75 / $7.60
| Professional | | $4.19 | $4.75 | $7.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.75 / $10.36
| Professional | | $3.80 | $4.75 | $10.36 |
- 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
- $4.28 / $5.83 / $8.94
| Professional | | $4.28 | $5.83 | $8.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $2.85 / $2.85
| Professional | | $2.85 | $2.85 | $2.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.93 / $5.68 / $14.40
| Facility | | $3.93 | $5.68 | $14.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $5.19 / $9.50
| Professional | | $3.51 | $5.19 | $9.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.67 / $16.67 / $16.67
| Professional | | $16.67 | $16.67 | $16.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.75 / $6.65
| Professional | | $3.80 | $4.75 | $6.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $3.98 / $9.18
| Professional | | $2.85 | $3.98 | $9.18 |