- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $6.64 / $42.84
| Facility | | $2.40 | $6.64 | $42.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $2.27 / $2.40
| Professional | | $2.08 | $2.27 | $2.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $2.54 / $12.37
| Facility | | $2.54 | $2.54 | $12.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.25 / $1.25 / $1.53
| Professional | | $1.25 | $1.25 | $1.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.53 / $11.50 / $17.22
| Professional | | $7.53 | $11.50 | $17.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.77 / $6.63 / $13.42
| Facility | | $1.77 | $6.63 | $13.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.44 / $1.70 / $3.61
| Professional | | $1.44 | $1.70 | $3.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.05 / $3.18 / $3.76
| Professional | | $3.05 | $3.18 | $3.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.13 / $2.29 / $2.40
| Facility | | $2.13 | $2.29 | $2.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $3.84 / $5.00
| Professional | | $3.06 | $3.84 | $5.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.97 / $3.62 / $4,071.00
| Facility | | $1.97 | $3.62 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $3.57 / $4,071.00
| Professional | | $1.97 | $3.57 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.50 / $2.10
| Professional | | $1.07 | $1.50 | $2.10 |