- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.92 / $36.00 / $72.81
| Facility | | $4.92 | $36.00 | $72.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.00 / $4.18
| Professional | | $2.27 | $3.00 | $4.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.18 / $11.59 / $21.32
| Facility | | $4.18 | $11.59 | $21.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $3.72 / $5.50
| Professional | | $2.09 | $3.72 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.61 / $6.27 / $66.00
| Facility | | $3.61 | $6.27 | $66.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.80 / $6.08
| Professional | | $2.75 | $3.80 | $6.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $3.84 / $3.84
| Facility | | $3.80 | $3.84 | $3.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.71 / $7.56 / $17.20
| Facility | | $2.71 | $7.56 | $17.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.89 / $6.02
| Professional | | $2.00 | $2.89 | $6.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.04 / $3.80 / $42.30
| Facility | | $3.04 | $3.80 | $42.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $3.80 / $4.76
| Professional | | $3.42 | $3.80 | $4.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.96 / $3.80 / $10.06
| Facility | | $2.96 | $3.80 | $10.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.42 / $4.97
| Professional | | $2.00 | $3.42 | $4.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $2.02 / $2.92
| Professional | | $1.60 | $2.02 | $2.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.70 / $3.80
| Professional | | $1.48 | $1.70 | $3.80 |