- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.53 / $15.23 / $29.21
| Facility | | $6.53 | $15.23 | $29.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $6.92 / $8.06
| Professional | | $4.32 | $6.92 | $8.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $8.06 / $20.96
| Facility | | $8.06 | $8.06 | $20.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $4.57 / $14.72
| Professional | | $2.94 | $4.57 | $14.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.84 / $8.06 / $8.06
| Facility | | $4.84 | $8.06 | $8.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.88 / $8.06 / $8.06
| Professional | | $5.88 | $8.06 | $8.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.63 / $17.03 / $62.53
| Facility | | $5.63 | $17.03 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.07 / $9.13 / $51.42
| Professional | | $6.07 | $9.13 | $51.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $10.48 / $332.00
| Facility | | $4.00 | $10.48 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $4.84 / $14.75
| Professional | | $3.68 | $4.84 | $14.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $5.25
| Facility | | $5.25 | $5.25 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.66 / $10.14
| Professional | | $5.25 | $7.66 | $10.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.98 / $22.17 / $32.02
| Facility | | $6.98 | $22.17 | $32.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $19.59 / $110.01
| Facility | | $9.73 | $19.59 | $110.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.47 / $9.51 / $16.60
| Professional | | $6.47 | $9.51 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $4.47 / $14.26
| Professional | | $3.39 | $4.47 | $14.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $9.27 / $29.73
| Facility | | $9.27 | $9.27 | $29.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.71 / $8.72 / $10.71
| Professional | | $6.71 | $8.72 | $10.71 |