- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.36 / $6.28 / $11.26
| Facility | | $3.36 | $6.28 | $11.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $3.36 / $4.61
| Professional | | $2.58 | $3.36 | $4.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.95 / $3.95 / $10.27
| Facility | | $3.95 | $3.95 | $10.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $2.24 / $7.58
| Professional | | $1.58 | $2.24 | $7.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $3.95 / $3.95
| Facility | | $2.37 | $3.95 | $3.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $3.95 / $3.95
| Professional | | $2.88 | $3.95 | $3.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.76 / $8.35 / $41.73
| Facility | | $2.76 | $8.35 | $41.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.03 / $4.38 / $27.53
| Professional | | $3.03 | $4.38 | $27.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $5.93 / $332.00
| Facility | | $3.50 | $5.93 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $2.37 / $7.23
| Professional | | $1.58 | $2.37 | $7.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.92 / $3.36 / $4.13
| Professional | | $1.92 | $3.36 | $4.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.69 / $9.36 / $54.95
| Facility | | $4.69 | $9.36 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $4.79 / $15.00
| Professional | | $3.16 | $4.79 | $15.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.37 / $5.93
| Professional | | $1.66 | $2.37 | $5.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.54 / $4.54 / $7.87
| Facility | | $4.54 | $4.54 | $7.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.92 / $3.75 / $4.75
| Professional | | $1.92 | $3.75 | $4.75 |