- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $61.37 / $98.30
| Facility | | $8.91 | $61.37 | $98.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.27 / $4.71 / $7.35
| Professional | | $3.27 | $4.71 | $7.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $3.18 / $4.76
| Professional | | $2.44 | $3.18 | $4.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.81 / $12.78 / $293.00
| Facility | | $5.81 | $12.78 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $4.17 / $12.38
| Professional | | $2.62 | $4.17 | $12.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $47.80 / $92.60
| Facility | | $13.73 | $47.80 | $92.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.28 / $4.69 / $14.21
| Professional | | $3.28 | $4.69 | $14.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.66 / $6.97 / $18.28
| Facility | | $3.66 | $6.97 | $18.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $6.61 / $9.64
| Professional | | $3.87 | $6.61 | $9.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $5.30 / $8.48
| Professional | | $4.58 | $5.30 | $8.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.24 / $5.31 / $12.00
| Professional | | $4.24 | $5.31 | $12.00 |
- 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
- $4.76 / $6.23 / $9.94
| Professional | | $4.76 | $6.23 | $9.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $3.18 / $3.18
| Professional | | $3.18 | $3.18 | $3.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.38 / $6.14 / $15.22
| Facility | | $4.38 | $6.14 | $15.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $5.56 / $10.60
| Professional | | $3.88 | $5.56 | $10.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.60 / $18.60 / $18.60
| Professional | | $18.60 | $18.60 | $18.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.24 / $5.30 / $7.42
| Professional | | $4.24 | $5.30 | $7.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.23 / $3.18 / $10.66
| Professional | | $2.23 | $3.18 | $10.66 |