- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $28.84 / $56.23
| Facility | | $10.96 | $28.84 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $39.81
| Professional | | $3.98 | $5.01 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $15.14 / $32.36
| Facility | | $3.02 | $15.14 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $4.79 / $14.45
| Professional | | $2.57 | $4.79 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $38.02 / $70.79
| Facility | | $13.49 | $38.02 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.62 / $16.60
| Professional | | $3.98 | $5.62 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $10.96 / $21.88
| Facility | | $4.27 | $10.96 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $5.01 / $9.77
| Professional | | $3.31 | $5.01 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $6.46 / $10.47
| Professional | | $5.25 | $6.46 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $6.46 / $14.45
| Professional | | $5.25 | $6.46 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $100.00
| Facility | | $70.79 | $70.79 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $6.46 / $6.46
| Professional | | $3.24 | $6.46 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $7.59 / $16.60
| Facility | | $4.68 | $7.59 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.01 / $12.88
| Professional | | $3.47 | $5.01 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $22.91 / $22.91
| Professional | | $22.91 | $22.91 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $6.61 / $10.96
| Professional | | $5.25 | $6.61 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $3.63 / $6.46
| Facility | | $2.95 | $3.63 | $6.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.16 / $11.48
| Professional | | $2.75 | $3.16 | $11.48 |