- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.50 / $25.92 / $46.46
| Facility | | $8.50 | $25.92 | $46.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.27 / $16.30
| Professional | | $2.69 | $3.27 | $16.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.30 / $16.30 / $42.38
| Facility | | $16.30 | $16.30 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.83 / $6.52 / $20.10
| Professional | | $1.83 | $6.52 | $20.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $16.30 / $16.30
| Facility | | $9.77 | $16.30 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.90 / $16.30 / $16.30
| Professional | | $11.90 | $16.30 | $16.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.39 / $33.22 / $43.19
| Facility | | $11.39 | $33.22 | $43.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $9.76 / $78.56
| Professional | | $2.78 | $9.76 | $78.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $21.19 / $332.00
| Facility | | $3.00 | $21.19 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $9.61 / $29.83
| Professional | | $5.97 | $9.61 | $29.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.27 / $4.80 / $17.09
| Professional | | $3.27 | $4.80 | $17.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $40.02 / $176.68
| Facility | | $13.73 | $40.02 | $176.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.70 / $3.97 / $25.27
| Professional | | $2.70 | $3.97 | $25.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $7.34 / $23.94
| Professional | | $4.90 | $7.34 | $23.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.83 / $18.73 / $18.73
| Facility | | $9.83 | $18.73 | $18.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.27 / $4.80 / $19.59
| Professional | | $3.27 | $4.80 | $19.59 |