- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.48 / $31.81 / $92.65
| Facility | | $6.48 | $31.81 | $92.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $2.49 / $4.46
| Professional | | $1.84 | $2.49 | $4.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $3.28 / $5.16
| Professional | | $1.60 | $3.28 | $5.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $8.46 / $17.19
| Facility | | $2.29 | $8.46 | $17.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.89 / $3.28 / $5.50
| Professional | | $1.89 | $3.28 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $7.38 / $27.20
| Facility | | $2.95 | $7.38 | $27.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $3.22 / $5.25
| Professional | | $2.29 | $3.22 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.28 / $7.23 / $7.23
| Facility | | $3.28 | $7.23 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $5.56 / $15.00
| Facility | | $2.29 | $5.56 | $15.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.56 / $2.63 / $5.16
| Professional | | $1.56 | $2.63 | $5.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.18 / $60.00 / $60.00
| Facility | | $20.18 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.98 / $5.75
| Professional | | $2.75 | $3.98 | $5.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $3.28 / $37.88
| Facility | | $2.29 | $3.28 | $37.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $3.28 / $3.28
| Professional | | $2.79 | $3.28 | $3.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.06 / $3.28 / $7.75
| Facility | | $2.06 | $3.28 | $7.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.56 / $2.58 / $5.11
| Professional | | $1.56 | $2.58 | $5.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $1.97 / $3.28
| Professional | | $1.91 | $1.97 | $3.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.31 / $1.31 / $3.28
| Professional | | $1.31 | $1.31 | $3.28 |