- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.67 / $36.75 / $120.60
| Facility | | $4.67 | $36.75 | $120.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.31 / $4.28
| Professional | | $2.75 | $3.31 | $4.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.67 / $3.67 / $17.87
| Facility | | $3.67 | $3.67 | $17.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.20 / $2.20 / $2.22
| Professional | | $2.20 | $2.20 | $2.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.85 / $16.59 / $24.83
| Professional | | $10.85 | $16.59 | $24.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.56 / $9.64 / $18.44
| Facility | | $2.56 | $9.64 | $18.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $2.49 / $4.13
| Professional | | $2.06 | $2.49 | $4.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $4.59 / $5.43
| Professional | | $4.40 | $4.59 | $5.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.07 / $3.32 / $3.67
| Facility | | $3.07 | $3.32 | $3.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $5.63 / $8.00
| Professional | | $5.04 | $5.63 | $8.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.85 / $5.16 / $4,071.00
| Facility | | $2.85 | $5.16 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $5.12 / $4,071.00
| Professional | | $2.85 | $5.12 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.54 / $2.20 / $3.67
| Professional | | $1.54 | $2.20 | $3.67 |