- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $25.12 / $87.10
| Facility | | $8.71 | $25.12 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $7.76 / $33.88
| Professional | | $3.98 | $7.76 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $22.39 / $47.86
| Facility | | $4.90 | $22.39 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $5.89 / $19.95
| Professional | | $2.69 | $5.89 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $52.48 / $100.00
| Facility | | $20.42 | $52.48 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.98 / $19.05
| Professional | | $2.69 | $3.98 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $16.22 / $35.48
| Facility | | $6.46 | $16.22 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $10.23 / $14.45
| Professional | | $5.50 | $10.23 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $9.55 / $15.49
| Professional | | $5.89 | $9.55 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $9.55 / $21.38
| Professional | | $7.76 | $9.55 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $72.44
| Facility | | $70.79 | $70.79 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $11.48 / $11.48
| Professional | | $5.75 | $11.48 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $11.22 / $25.70
| Facility | | $7.08 | $11.22 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $10.23 / $19.95
| Professional | | $5.75 | $10.23 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $33.88
| Professional | | $33.88 | $33.88 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $9.77 / $16.22
| Professional | | $7.76 | $9.77 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $5.75 / $9.55
| Facility | | $4.37 | $5.75 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.24 / $17.38
| Professional | | $5.75 | $7.24 | $17.38 |