- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $12.17 / $53.69
| Facility | | $4.51 | $12.17 | $53.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.73 / $3.93 / $5.41
| Professional | | $2.73 | $3.93 | $5.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.22 / $1.22 / $2.17
| Professional | | $1.22 | $1.22 | $2.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $4.51 / $11.75
| Facility | | $4.51 | $4.51 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $2.73 / $10.19
| Professional | | $2.16 | $2.73 | $10.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.71 / $4.51 / $4.51
| Facility | | $2.71 | $4.51 | $4.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $4.51 / $4.51
| Professional | | $3.30 | $4.51 | $4.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $9.19 / $47.90
| Facility | | $3.16 | $9.19 | $47.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.11 / $10.02
| Professional | | $3.47 | $5.11 | $10.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $6.33 / $332.00
| Facility | | $3.50 | $6.33 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $2.71 / $8.27
| Professional | | $2.06 | $2.71 | $8.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $4.51 / $4.51
| Facility | | $4.51 | $4.51 | $4.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.96 / $4.51 / $5.83
| Professional | | $3.96 | $4.51 | $5.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.71 / $2.71 / $3.62
| Professional | | $2.71 | $2.71 | $3.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $11.62 / $40.15
| Facility | | $3.58 | $11.62 | $40.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $3.01 / $7.01
| Professional | | $2.98 | $3.01 | $7.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $11.07 / $62.80
| Facility | | $5.50 | $11.07 | $62.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $6.00 / $9.31
| Professional | | $3.63 | $6.00 | $9.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $2.59 / $7.01
| Professional | | $1.90 | $2.59 | $7.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.20 / $5.20 / $16.53
| Facility | | $5.20 | $5.20 | $16.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.96 / $4.88 / $5.96
| Professional | | $3.96 | $4.88 | $5.96 |