- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $27.82 / $79.15
| Facility | | $4.80 | $27.82 | $79.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $4.30 / $8.27
| Professional | | $4.04 | $4.30 | $8.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.05 / $3.29
| Professional | | $2.54 | $3.05 | $3.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.57 / $12.25 / $293.00
| Facility | | $5.57 | $12.25 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $3.74 / $11.06
| Professional | | $2.34 | $3.74 | $11.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $42.16 / $82.93
| Facility | | $11.98 | $42.16 | $82.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.21 / $24.38
| Professional | | $2.95 | $4.21 | $24.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.30 / $6.67 / $17.00
| Facility | | $3.30 | $6.67 | $17.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $5.79 / $9.03
| Professional | | $3.18 | $5.79 | $9.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.22 / $5.08 / $8.13
| Professional | | $4.22 | $5.08 | $8.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $5.08 / $11.51
| Professional | | $4.05 | $5.08 | $11.51 |
- 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
- $3.05 / $3.05 / $3.05
| Professional | | $3.05 | $3.05 | $3.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.94 / $5.87 / $15.13
| Facility | | $3.94 | $5.87 | $15.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.48 / $5.08 / $10.16
| Professional | | $3.48 | $5.08 | $10.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.82 / $17.82 / $17.82
| Professional | | $17.82 | $17.82 | $17.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $5.08 / $7.11
| Professional | | $4.05 | $5.08 | $7.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $2.79 / $9.50
| Professional | | $2.13 | $2.79 | $9.50 |