- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $11.75 / $19.50
| Facility | | $6.46 | $11.75 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $5.01 / $9.33
| Professional | | $2.00 | $5.01 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $6.46 / $16.98
| Facility | | $6.46 | $6.46 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $2.57 / $10.47
| Professional | | $2.57 | $2.57 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $6.46 / $6.46
| Facility | | $3.89 | $6.46 | $6.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $6.46 / $6.46
| Professional | | $4.79 | $6.46 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $16.98 / $50.12
| Facility | | $4.90 | $16.98 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $7.76 / $33.88
| Professional | | $3.80 | $7.76 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $7.41 / $16.22
| Facility | | $3.98 | $7.41 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.57 / $12.59
| Professional | | $3.02 | $4.57 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $6.17 / $7.76
| Professional | | $4.37 | $6.17 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $12.30 / $50,118.72
| Facility | | $6.17 | $12.30 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $5.89 / $8.13
| Facility | | $3.39 | $5.89 | $8.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.55 / $9.77
| Professional | | $2.75 | $3.55 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $7.41 / $15.14
| Facility | | $4.27 | $7.41 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $6.46 / $18.20
| Professional | | $4.57 | $6.46 | $18.20 |