- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.91 / $7.16 / $20.71
| Facility | | $2.91 | $7.16 | $20.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.04 / $3.22 / $4.17
| Professional | | $3.04 | $3.22 | $4.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $3.58 / $9.31
| Facility | | $3.58 | $3.58 | $9.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $2.18 / $8.11
| Professional | | $1.77 | $2.18 | $8.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.15 / $3.58 / $3.58
| Facility | | $2.15 | $3.58 | $3.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $3.58 / $3.58
| Professional | | $2.61 | $3.58 | $3.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $7.07 / $35.92
| Facility | | $2.50 | $7.07 | $35.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $4.13 / $25.70
| Professional | | $2.60 | $4.13 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $5.01 / $332.00
| Facility | | $2.50 | $5.01 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $2.15 / $6.69
| Professional | | $1.64 | $2.15 | $6.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $3.04 / $3.75
| Professional | | $2.02 | $3.04 | $3.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.41 / $9.11 / $15.86
| Facility | | $2.41 | $9.11 | $15.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.38 / $2.38 / $2.38
| Professional | | $2.38 | $2.38 | $2.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $8.52 / $47.10
| Facility | | $4.26 | $8.52 | $47.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.87 / $4.84 / $8.39
| Professional | | $2.87 | $4.84 | $8.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.33 / $2.45 / $2.70
| Facility | | $2.33 | $2.45 | $2.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.27 / $5.00
| Professional | | $1.81 | $2.27 | $5.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.12 / $4.12 / $8.23
| Facility | | $4.12 | $4.12 | $8.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $3.40 / $4.30
| Professional | | $2.02 | $3.40 | $4.30 |