- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.02 / $14.13 / $23.54
| Facility | | $7.02 | $14.13 | $23.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $6.58 / $9.01
| Professional | | $5.42 | $6.58 | $9.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $8.26 / $21.48
| Facility | | $8.26 | $8.26 | $21.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.49 / $4.63 / $16.76
| Professional | | $3.49 | $4.63 | $16.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.96 / $8.26 / $8.26
| Facility | | $4.96 | $8.26 | $8.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.26 / $8.26
| Professional | | $6.03 | $8.26 | $8.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.77 / $16.96 / $74.88
| Facility | | $5.77 | $16.96 | $74.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.31 / $47.74
| Professional | | $5.00 | $6.31 | $47.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $11.56 / $332.00
| Facility | | $6.50 | $11.56 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $4.96 / $15.12
| Professional | | $3.77 | $4.96 | $15.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.08 / $5.08 / $5.08
| Facility | | $5.08 | $5.08 | $5.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $7.02 / $9.93
| Professional | | $5.08 | $7.02 | $9.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.63 / $6.63 / $29.04
| Facility | | $6.63 | $6.63 | $29.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.16 / $20.43 / $98.18
| Facility | | $10.16 | $20.43 | $98.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $8.49 / $15.98
| Professional | | $5.73 | $8.49 | $15.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.96 / $12.39
| Professional | | $3.47 | $4.96 | $12.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.50 / $9.50 / $26.88
| Facility | | $9.50 | $9.50 | $26.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $8.61 / $10.29
| Professional | | $6.49 | $8.61 | $10.29 |