- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $26.92 / $93.33
| Facility | | $6.92 | $26.92 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $26.30
| Professional | | $3.02 | $3.98 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.32 / $2.40 / $2.75
| Professional | | $1.32 | $2.40 | $2.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $9.33 / $19.95
| Facility | | $2.29 | $9.33 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $3.47 / $11.48
| Professional | | $1.95 | $3.47 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $30.90 / $60.26
| Facility | | $9.12 | $30.90 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $4.57 / $11.48
| Professional | | $3.16 | $4.57 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.69 / $6.61 / $14.45
| Facility | | $2.69 | $6.61 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $3.98 / $6.61
| Professional | | $2.29 | $3.98 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $3.98 / $6.31
| Professional | | $3.55 | $3.98 | $6.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.98 / $9.12
| Professional | | $3.16 | $3.98 | $9.12 |
- 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
- $3.31 / $3.72 / $6.92
| Professional | | $3.31 | $3.72 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $4.79 / $4.79
| Professional | | $2.40 | $4.79 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $4.79 / $11.75
| Facility | | $3.31 | $4.79 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $3.72 / $8.91
| Professional | | $2.29 | $3.72 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $14.13
| Professional | | $14.13 | $14.13 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $4.07 / $6.76
| Professional | | $3.16 | $4.07 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $2.40 / $3.98
| Facility | | $1.82 | $2.40 | $3.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.40 / $7.94
| Professional | | $1.70 | $2.40 | $7.94 |