- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.22 / $9.08 / $15.68
| Facility | | $5.22 | $9.08 | $15.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $4.68 / $5.50
| Professional | | $4.08 | $4.68 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $5.50 / $14.30
| Facility | | $5.50 | $5.50 | $14.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.30 / $11.69
| Professional | | $2.63 | $3.30 | $11.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.30 / $5.50 / $5.50
| Facility | | $3.30 | $5.50 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.50 / $5.50
| Professional | | $4.01 | $5.50 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.85 / $11.31 / $56.92
| Facility | | $3.85 | $11.31 | $56.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $6.20 / $36.72
| Professional | | $4.12 | $6.20 | $36.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $7.18 / $332.00
| Facility | | $3.50 | $7.18 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.30 / $10.07
| Professional | | $2.50 | $3.30 | $10.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $5.50 / $5.50
| Facility | | $5.50 | $5.50 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $5.50 / $6.61
| Professional | | $4.05 | $5.50 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $9.80 / $9.80
| Facility | | $9.80 | $9.80 | $9.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.77 / $13.63 / $74.63
| Facility | | $6.77 | $13.63 | $74.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $7.00 / $11.33
| Professional | | $4.34 | $7.00 | $11.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $3.30 / $8.34
| Professional | | $2.31 | $3.30 | $8.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.32 / $6.32 / $16.14
| Facility | | $6.32 | $6.32 | $16.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $5.77 / $7.10
| Professional | | $3.94 | $5.77 | $7.10 |