- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.18 / $54.08 / $91.80
| Facility | | $7.18 | $54.08 | $91.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $4.05 / $7.21
| Professional | | $2.31 | $4.05 | $7.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $3.34 / $4.33
| Professional | | $2.41 | $3.34 | $4.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.27 / $11.60 / $293.00
| Facility | | $5.27 | $11.60 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.38 / $3.79 / $10.17
| Professional | | $2.38 | $3.79 | $10.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.14 / $42.67 / $83.93
| Facility | | $12.14 | $42.67 | $83.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $4.26 / $9.41
| Professional | | $2.98 | $4.26 | $9.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.33 / $6.32 / $16.12
| Facility | | $3.33 | $6.32 | $16.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $5.78 / $8.43
| Professional | | $3.18 | $5.78 | $8.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $4.80 / $7.70
| Professional | | $3.51 | $4.80 | $7.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.85 / $4.80 / $10.73
| Professional | | $3.85 | $4.80 | $10.73 |
- 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
- $4.33 / $5.83 / $8.94
| Professional | | $4.33 | $5.83 | $8.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $2.88 / $2.88
| Professional | | $2.88 | $2.88 | $2.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $5.69 / $13.71
| Facility | | $4.00 | $5.69 | $13.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.80 / $9.61
| Professional | | $3.25 | $4.80 | $9.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.88 / $16.88 / $16.88
| Professional | | $16.88 | $16.88 | $16.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.85 / $4.80 / $6.73
| Professional | | $3.85 | $4.80 | $6.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.86 / $9.24
| Professional | | $2.02 | $2.86 | $9.24 |