- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.52 / $29.87 / $112.10
| Facility | | $5.52 | $29.87 | $112.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.53 / $6.51 / $7.30
| Professional | | $4.53 | $6.51 | $7.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $4.38 / $5.07
| Professional | | $3.50 | $4.38 | $5.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.05 / $24.09 / $43.95
| Facility | | $9.05 | $24.09 | $43.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $5.00 / $6.50
| Professional | | $3.87 | $5.00 | $6.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.16 / $10.59 / $33.57
| Facility | | $6.16 | $10.59 | $33.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $7.29 / $10.95
| Professional | | $5.48 | $7.29 | $10.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.23 / $7.23 / $7.30
| Facility | | $7.23 | $7.23 | $7.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.09 / $15.96 / $37.02
| Facility | | $5.09 | $15.96 | $37.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $5.42 / $12.58
| Professional | | $3.87 | $5.42 | $12.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $10.86 / $12.35
| Professional | | $6.57 | $10.86 | $12.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.84 / $7.30 / $10.92
| Facility | | $5.84 | $7.30 | $10.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $7.30 / $9.51
| Professional | | $6.57 | $7.30 | $9.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.84 / $7.30 / $18.36
| Facility | | $5.84 | $7.30 | $18.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $5.62 / $10.55
| Professional | | $3.87 | $5.62 | $10.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $4.18 / $5.96
| Professional | | $3.07 | $4.18 | $5.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $3.60 / $7.30
| Professional | | $2.85 | $3.60 | $7.30 |