- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $36.31 / $79.43
| Facility | | $3.39 | $36.31 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.04 / $4.37
| Professional | | $1.00 | $2.04 | $4.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.12 / $1.41 / $3.63
| Professional | | $1.12 | $1.41 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $6.31 / $13.18
| Facility | | $2.29 | $6.31 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $1.91 / $5.50
| Professional | | $1.55 | $1.91 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.14 / $3.47 / $33.11
| Facility | | $2.14 | $3.47 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.66 / $2.45 / $4.07
| Professional | | $1.66 | $2.45 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.34 / $2.34 / $2.34
| Facility | | $2.34 | $2.34 | $2.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.34 / $5.13 / $12.88
| Facility | | $2.34 | $5.13 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $2.57 / $4.27
| Professional | | $1.41 | $2.57 | $4.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $100.00
| Facility | | $60.26 | $60.26 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $2.88 / $4.57
| Professional | | $1.95 | $2.88 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.91 / $9.77 / $70.79
| Facility | | $1.91 | $9.77 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $2.14 / $4.79
| Professional | | $1.00 | $2.14 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.00 / $2.00
| Professional | | $1.78 | $2.00 | $2.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.91 / $2.34 / $6.92
| Facility | | $1.91 | $2.34 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $2.51 / $4.07
| Professional | | $1.55 | $2.51 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.85 / $1.58 / $2.34
| Facility | | $0.85 | $1.58 | $2.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.95 / $2.45
| Professional | | $1.41 | $1.95 | $2.45 |