- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $28.18 / $66.07
| Facility | | $6.76 | $28.18 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.25 / $38.02
| Professional | | $3.98 | $5.25 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $3.47 / $3.98
| Professional | | $3.47 | $3.47 | $3.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $13.49 / $28.84
| Facility | | $3.31 | $13.49 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $4.90 / $17.78
| Professional | | $2.82 | $4.90 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $44.67 / $81.28
| Facility | | $13.18 | $44.67 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $6.61 / $16.60
| Professional | | $4.57 | $6.61 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $9.77 / $21.38
| Facility | | $3.89 | $9.77 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.75 / $9.33
| Professional | | $3.47 | $5.75 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.75 / $9.33
| Professional | | $5.01 | $5.75 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $5.75 / $12.88
| Professional | | $4.57 | $5.75 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $100.00
| Facility | | $60.26 | $60.26 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $6.92 / $6.92
| Professional | | $3.47 | $6.92 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $6.92 / $17.78
| Facility | | $4.79 | $6.92 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.37 / $13.49
| Professional | | $3.47 | $5.37 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $20.42
| Professional | | $20.42 | $20.42 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $5.89 / $9.77
| Professional | | $4.57 | $5.89 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $3.98 / $5.75
| Facility | | $2.57 | $3.98 | $5.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $3.47 / $11.48
| Professional | | $2.40 | $3.47 | $11.48 |