- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.46 / $68.84 / $152.63
| Facility | | $7.46 | $68.84 | $152.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.62 / $4.51 / $6.22
| Professional | | $3.62 | $4.51 | $6.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $3.59 / $7.25
| Professional | | $2.49 | $3.59 | $7.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.59 / $15.95 / $30.35
| Facility | | $5.59 | $15.95 | $30.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $5.00 / $5.50
| Professional | | $2.85 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.66 / $8.28 / $36.26
| Facility | | $4.66 | $8.28 | $36.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.00 / $8.28
| Professional | | $3.89 | $5.00 | $8.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $5.18 / $5.18
| Facility | | $5.18 | $5.18 | $5.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $11.39 / $26.43
| Facility | | $3.62 | $11.39 | $26.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.83 / $7.75
| Professional | | $2.75 | $3.83 | $7.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.76 / $60.00 / $100.00
| Facility | | $32.76 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.65 / $6.60 / $9.19
| Professional | | $4.65 | $6.60 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.29 / $5.18 / $121.02
| Facility | | $4.29 | $5.18 | $121.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $5.18 / $9.38
| Professional | | $4.66 | $5.18 | $9.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $5.18 / $12.98
| Facility | | $4.13 | $5.18 | $12.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $4.03 / $7.48
| Professional | | $2.75 | $4.03 | $7.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.98 / $4.29
| Professional | | $2.18 | $2.98 | $4.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.56 / $5.18
| Professional | | $2.02 | $2.56 | $5.18 |