- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.14 / $56.47 / $136.24
| Facility | | $7.14 | $56.47 | $136.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $4.13 / $5.71
| Professional | | $2.86 | $4.13 | $5.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.29 / $2.76 / $4.76
| Professional | | $1.29 | $2.76 | $4.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $12.10 / $25.70
| Facility | | $5.00 | $12.10 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $4.66 / $5.50
| Professional | | $2.62 | $4.66 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $6.43 / $32.24
| Facility | | $4.76 | $6.43 | $32.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.57 / $4.76 / $7.62
| Professional | | $3.57 | $4.76 | $7.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.71 / $4.71 / $4.76
| Facility | | $4.71 | $4.71 | $4.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.68 / $10.11 / $23.80
| Facility | | $3.68 | $10.11 | $23.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $4.48 / $8.47
| Professional | | $2.58 | $4.48 | $8.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $6.12 / $8.13
| Professional | | $4.28 | $6.12 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.81 / $4.76 / $14.18
| Facility | | $3.81 | $4.76 | $14.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $4.76 / $7.60
| Professional | | $4.28 | $4.76 | $7.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.82 / $4.76 / $11.45
| Facility | | $3.82 | $4.76 | $11.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $4.76 / $7.77
| Professional | | $2.58 | $4.76 | $7.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.63 / $3.91
| Professional | | $2.00 | $2.63 | $3.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $2.27 / $4.76
| Professional | | $2.27 | $2.27 | $4.76 |