- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.25 / $23.33 / $73.20
| Facility | | $8.25 | $23.33 | $73.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $7.66 / $9.72
| Professional | | $6.31 | $7.66 | $9.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $4.05 / $4.67
| Professional | | $2.62 | $4.05 | $4.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.72 / $9.72 / $25.27
| Facility | | $9.72 | $9.72 | $25.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $5.70 / $19.34
| Professional | | $4.05 | $5.70 | $19.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.83 / $9.72 / $9.72
| Facility | | $5.83 | $9.72 | $9.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $9.72 / $9.72
| Professional | | $7.10 | $9.72 | $9.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.79 / $19.79 / $86.86
| Facility | | $6.79 | $19.79 | $86.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $9.86 / $53.26
| Professional | | $6.29 | $9.86 | $53.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $12.64 / $332.00
| Facility | | $5.00 | $12.64 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.44 / $5.83 / $17.79
| Professional | | $4.44 | $5.83 | $17.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.97 / $6.97 / $6.97
| Facility | | $6.97 | $6.97 | $6.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $8.36 / $11.28
| Professional | | $6.97 | $8.36 | $11.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.03 / $17.14 / $42.30
| Facility | | $7.03 | $17.14 | $42.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.41 / $6.41 / $6.47
| Professional | | $6.41 | $6.41 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.85 / $23.84 / $113.88
| Facility | | $11.85 | $23.84 | $113.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $11.68 / $18.76
| Professional | | $6.72 | $11.68 | $18.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $5.53 / $14.28
| Professional | | $4.08 | $5.53 | $14.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.18 / $11.18 / $31.29
| Facility | | $11.18 | $11.18 | $31.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $9.72 / $11.68
| Professional | | $6.94 | $9.72 | $11.68 |