- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $21.41 / $53.31
| Facility | | $5.01 | $21.41 | $53.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $4.30 / $13.08
| Professional | | $3.16 | $4.30 | $13.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $2.85 / $2.85
| Professional | | $2.85 | $2.85 | $2.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.20 / $11.46 / $293.00
| Facility | | $5.20 | $11.46 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $3.74 / $12.17
| Professional | | $2.34 | $3.74 | $12.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $42.16 / $82.93
| Facility | | $11.98 | $42.16 | $82.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.21 / $22.80
| Professional | | $2.95 | $4.21 | $22.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.29 / $6.24 / $15.91
| Facility | | $3.29 | $6.24 | $15.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $5.78 / $8.43
| Professional | | $3.18 | $5.78 | $8.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.22 / $4.75 / $7.60
| Professional | | $4.22 | $4.75 | $7.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.75 / $10.76
| Professional | | $3.80 | $4.75 | $10.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $2.85 / $2.85
| Professional | | $2.85 | $2.85 | $2.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.94 / $5.70 / $15.59
| Facility | | $3.94 | $5.70 | $15.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.75 / $9.50
| Professional | | $3.25 | $4.75 | $9.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.67 / $16.67 / $16.67
| Professional | | $16.67 | $16.67 | $16.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.75 / $6.65
| Professional | | $3.80 | $4.75 | $6.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.83 / $9.77
| Professional | | $2.00 | $2.83 | $9.77 |