- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.86 / $12.06 / $26.37
| Facility | | $5.86 | $12.06 | $26.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.11 / $6.15 / $9.61
| Professional | | $5.11 | $6.15 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.89 / $6.89 / $17.91
| Facility | | $6.89 | $6.89 | $17.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $4.16 / $15.56
| Professional | | $3.29 | $4.16 | $15.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $6.89 / $6.89
| Facility | | $4.13 | $6.89 | $6.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.89 / $6.89
| Professional | | $5.03 | $6.89 | $6.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $14.13 / $71.84
| Facility | | $4.80 | $14.13 | $71.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.21 / $7.67 / $44.07
| Professional | | $5.21 | $7.67 | $44.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $9.65 / $332.00
| Facility | | $5.00 | $9.65 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $4.13 / $12.61
| Professional | | $3.15 | $4.13 | $12.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.89 / $6.89 / $6.89
| Facility | | $6.89 | $6.89 | $6.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.07 / $6.89 / $9.14
| Professional | | $6.07 | $6.89 | $9.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.89 / $31.50 / $36.00
| Facility | | $6.89 | $31.50 | $36.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $17.02 / $94.20
| Facility | | $8.46 | $17.02 | $94.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $9.47 / $18.00
| Professional | | $5.53 | $9.47 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $4.13 / $10.34
| Professional | | $2.89 | $4.13 | $10.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.92 / $7.92 / $25.34
| Facility | | $7.92 | $7.92 | $25.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.07 / $7.74 / $10.33
| Professional | | $6.07 | $7.74 | $10.33 |