- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $39.81 / $109.65
| Facility | | $5.01 | $39.81 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.27 / $6.03
| Professional | | $3.02 | $4.27 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.02 / $7.76
| Professional | | $2.45 | $3.02 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $15.85 / $29.51
| Facility | | $5.62 | $15.85 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $4.27 / $5.50
| Professional | | $2.75 | $4.27 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $6.76 / $9.33
| Facility | | $5.01 | $6.76 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $5.01 / $8.13
| Professional | | $3.55 | $5.01 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $5.01
| Facility | | $5.01 | $5.01 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $10.72 / $26.92
| Facility | | $4.90 | $10.72 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.47 / $10.23
| Professional | | $2.69 | $3.47 | $10.23 |
- 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
- $4.37 / $4.90 / $7.76
| Professional | | $4.37 | $4.90 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $5.62 / $91.20
| Facility | | $3.89 | $5.62 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.37 / $7.08
| Professional | | $3.02 | $4.37 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.27 / $4.27
| Professional | | $3.80 | $4.27 | $4.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $5.01 / $14.13
| Facility | | $4.07 | $5.01 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.63 / $8.13
| Professional | | $2.75 | $3.63 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $3.02 / $5.01
| Facility | | $1.82 | $3.02 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.82 / $4.17
| Professional | | $2.14 | $2.82 | $4.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $1.95 / $1.95
| Professional | | $1.95 | $1.95 | $1.95 |