- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $21.88 / $63.10
| Facility | | $4.37 | $21.88 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.57 / $6.31
| Professional | | $3.02 | $4.57 | $6.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.47 / $3.55
| Professional | | $2.75 | $3.47 | $3.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $19.05 / $33.11
| Facility | | $7.41 | $19.05 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.01 / $5.62
| Professional | | $3.16 | $5.01 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $8.71 / $25.70
| Facility | | $5.37 | $8.71 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.75 / $9.33
| Professional | | $4.07 | $5.75 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $5.75 / $5.75
| Facility | | $5.75 | $5.75 | $5.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $11.75 / $30.20
| Facility | | $5.25 | $11.75 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $3.80 / $10.72
| Professional | | $3.09 | $3.80 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $100.00 / $100.00
| Facility | | $60.26 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $5.50 / $8.71
| Professional | | $4.79 | $5.50 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $5.75 / $51.29
| Facility | | $4.37 | $5.75 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.90 / $6.76
| Professional | | $3.02 | $4.90 | $6.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $4.90 / $4.90
| Professional | | $4.37 | $4.90 | $4.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $263.03 / $263.03
| Facility | | $147.91 | $263.03 | $263.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $5.75 / $16.22
| Facility | | $4.37 | $5.75 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $3.80 / $8.71
| Professional | | $2.95 | $3.80 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.09 / $3.47 / $5.75
| Facility | | $2.09 | $3.47 | $5.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.02 / $4.79
| Professional | | $2.45 | $3.02 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $2.24 / $5.75
| Professional | | $2.24 | $2.24 | $5.75 |