- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $14.47 / $51.00
| Facility | | $3.80 | $14.47 | $51.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $4.26 / $5.68
| Professional | | $4.04 | $4.26 | $5.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.29 / $3.29
| Professional | | $2.75 | $3.29 | $3.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.02 / $13.24 / $293.00
| Facility | | $6.02 | $13.24 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $3.74 / $10.92
| Professional | | $2.34 | $3.74 | $10.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $42.30 / $82.93
| Facility | | $12.41 | $42.30 | $82.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.21 / $26.35
| Professional | | $2.95 | $4.21 | $26.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.57 / $7.21 / $17.97
| Facility | | $3.57 | $7.21 | $17.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $6.20 / $9.64
| Professional | | $3.18 | $6.20 | $9.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $5.49 / $8.77
| Professional | | $4.38 | $5.49 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $5.49 / $12.44
| Professional | | $4.38 | $5.49 | $12.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $85.85 / $100.00
| Facility | | $60.00 | $85.85 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $3.29 / $3.29
| Professional | | $3.29 | $3.29 | $3.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.94 / $5.98 / $13.73
| Facility | | $3.94 | $5.98 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $5.49 / $10.19
| Professional | | $3.51 | $5.49 | $10.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.26 / $19.26 / $19.26
| Professional | | $19.26 | $19.26 | $19.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $5.49 / $7.69
| Professional | | $4.38 | $5.49 | $7.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $2.86 / $10.55
| Professional | | $2.31 | $2.86 | $10.55 |