- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $34.67 / $77.62
| Facility | | $12.88 | $34.67 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.03 / $45.71
| Professional | | $5.01 | $6.03 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $16.22 / $34.67
| Facility | | $3.98 | $16.22 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.13 / $19.50
| Professional | | $3.47 | $5.13 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $50.12 / $95.50
| Facility | | $15.85 | $50.12 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $6.61 / $19.95
| Professional | | $4.57 | $6.61 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $11.75 / $25.70
| Facility | | $4.68 | $11.75 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $7.08 / $11.48
| Professional | | $4.27 | $7.08 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.92 / $11.22
| Professional | | $5.37 | $6.92 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $6.92 / $15.49
| Professional | | $5.62 | $6.92 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $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
- $5.75 / $8.32 / $21.88
| Facility | | $5.75 | $8.32 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $6.46 / $16.22
| Professional | | $4.27 | $6.46 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $24.55 / $24.55
| Professional | | $24.55 | $24.55 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $7.08 / $11.75
| Professional | | $5.62 | $7.08 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $4.79 / $6.92
| Facility | | $3.16 | $4.79 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.17 / $13.80
| Professional | | $2.95 | $4.17 | $13.80 |