- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $22.68 / $48.44
| Facility | | $5.01 | $22.68 | $48.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.87 / $4.54 / $23.34
| Professional | | $2.87 | $4.54 | $23.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $2.16 / $3.88
| Professional | | $2.16 | $2.16 | $3.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.72 / $10.40 / $293.00
| Facility | | $4.72 | $10.40 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $3.39 / $11.04
| Professional | | $2.13 | $3.39 | $11.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.84 / $38.28 / $75.06
| Facility | | $10.84 | $38.28 | $75.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.67 / $3.81 / $20.69
| Professional | | $2.67 | $3.81 | $20.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.97 / $5.66 / $14.42
| Facility | | $2.97 | $5.66 | $14.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $5.09 / $7.83
| Professional | | $2.76 | $5.09 | $7.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $4.30 / $6.90
| Professional | | $2.64 | $4.30 | $6.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $4.30 / $9.40
| Professional | | $3.45 | $4.30 | $9.40 |
- 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
- $2.58 / $2.58 / $2.58
| Professional | | $2.58 | $2.58 | $2.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.56 / $5.17 / $12.38
| Facility | | $3.56 | $5.17 | $12.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $4.30 / $8.61
| Professional | | $2.78 | $4.30 | $8.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.12 / $15.12 / $15.12
| Professional | | $15.12 | $15.12 | $15.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $4.30 / $6.03
| Professional | | $3.45 | $4.30 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.59 / $8.27
| Professional | | $1.81 | $2.59 | $8.27 |