- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.20 / $19.80 / $62.25
| Facility | | $7.20 | $19.80 | $62.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $6.42 / $8.26
| Professional | | $5.33 | $6.42 | $8.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $3.24 / $3.46
| Professional | | $1.94 | $3.24 | $3.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.20 / $7.20 / $18.72
| Facility | | $7.20 | $7.20 | $18.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $4.34 / $16.25
| Professional | | $3.45 | $4.34 | $16.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.32 / $7.20 / $7.20
| Facility | | $4.32 | $7.20 | $7.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.26 / $7.20 / $7.20
| Professional | | $5.26 | $7.20 | $7.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.03 / $14.84 / $74.88
| Facility | | $5.03 | $14.84 | $74.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $8.03 / $15.84
| Professional | | $5.42 | $8.03 | $15.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $10.08 / $332.00
| Facility | | $5.50 | $10.08 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $4.32 / $13.18
| Professional | | $3.29 | $4.32 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.08 / $5.08 / $5.08
| Facility | | $5.08 | $5.08 | $5.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $6.84 / $8.65
| Professional | | $5.08 | $6.84 | $8.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.05 / $3.05 / $4.05
| Professional | | $3.05 | $3.05 | $4.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.21 / $13.33 / $47.23
| Facility | | $5.21 | $13.33 | $47.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $4.80 / $4.80
| Professional | | $4.75 | $4.80 | $4.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.89 / $17.88 / $98.18
| Facility | | $8.89 | $17.88 | $98.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $8.03 / $14.83
| Professional | | $2.21 | $8.03 | $14.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.32 / $11.30
| Professional | | $3.02 | $4.32 | $11.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $8.27 / $26.53
| Facility | | $8.27 | $8.27 | $26.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.88 / $7.55 / $9.56
| Professional | | $5.88 | $7.55 | $9.56 |