- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $9.16 / $17.84
| Facility | | $3.39 | $9.16 | $17.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.73 / $3.29 / $4.28
| Professional | | $2.73 | $3.29 | $4.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $4.00 / $10.40
| Facility | | $4.00 | $4.00 | $10.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $2.31 / $8.36
| Professional | | $1.75 | $2.31 | $8.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $4.00 / $4.00
| Facility | | $2.40 | $4.00 | $4.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.92 / $4.00 / $4.00
| Professional | | $2.92 | $4.00 | $4.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.80 / $7.77 / $38.96
| Facility | | $2.80 | $7.77 | $38.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $4.01 / $23.86
| Professional | | $2.82 | $4.01 | $23.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $6.00 / $332.00
| Facility | | $3.50 | $6.00 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.83 / $2.40 / $7.32
| Professional | | $1.83 | $2.40 | $7.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $4.00 / $4.00
| Facility | | $4.00 | $4.00 | $4.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $4.00 / $4.86
| Professional | | $3.40 | $4.00 | $4.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.73 / $10.19 / $72.25
| Facility | | $2.73 | $10.19 | $72.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.69 / $9.36 / $51.08
| Facility | | $4.69 | $9.36 | $51.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $5.04 / $8.01
| Professional | | $2.94 | $5.04 | $8.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.68 / $2.40 / $5.87
| Professional | | $1.68 | $2.40 | $5.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.59 / $4.59 / $13.50
| Facility | | $4.59 | $4.59 | $13.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $4.33 / $5.16
| Professional | | $3.31 | $4.33 | $5.16 |