- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.81 / $8.33 / $19.13
| Facility | | $3.81 | $8.33 | $19.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $4.05 / $7.17
| Professional | | $3.32 | $4.05 | $7.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $2.15 / $2.24
| Professional | | $2.15 | $2.15 | $2.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.48 / $4.48 / $11.65
| Facility | | $4.48 | $4.48 | $11.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $2.71 / $9.98
| Professional | | $2.21 | $2.71 | $9.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.69 / $4.48 / $4.48
| Facility | | $2.69 | $4.48 | $4.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.27 / $4.48 / $4.48
| Professional | | $3.27 | $4.48 | $4.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $9.19 / $45.26
| Facility | | $3.13 | $9.19 | $45.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $5.37 / $38.57
| Professional | | $3.25 | $5.37 | $38.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $6.72 / $332.00
| Facility | | $4.00 | $6.72 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.69 / $8.19
| Professional | | $2.04 | $2.69 | $8.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.20 / $3.20 / $3.20
| Facility | | $3.20 | $3.20 | $3.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $4.26 / $5.38
| Professional | | $3.20 | $4.26 | $5.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.53 / $15.43 / $73.95
| Facility | | $3.53 | $15.43 | $73.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $11.07 / $58.93
| Facility | | $5.50 | $11.07 | $58.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $6.00 / $9.23
| Professional | | $3.56 | $6.00 | $9.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $2.69 / $6.94
| Professional | | $1.88 | $2.69 | $6.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.15 / $5.15 / $16.47
| Facility | | $5.15 | $5.15 | $16.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $4.70 / $5.94
| Professional | | $3.65 | $4.70 | $5.94 |