- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.37 / $25.53 / $48.36
| Facility | | $7.37 | $25.53 | $48.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $5.11 / $38.00
| Professional | | $3.15 | $5.11 | $38.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.97 / $22.31 / $409.53
| Facility | | $7.97 | $22.31 | $409.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.63 / $37.18 / $8,639.91
| Facility | | $28.63 | $37.18 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $4.79 / $4.79
| Professional | | $4.79 | $4.79 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.04 / $7.99 / $20.65
| Facility | | $4.04 | $7.99 | $20.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.57 / $7.02 / $9.73
| Professional | | $3.57 | $7.02 | $9.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $4.91 / $8.31
| Professional | | $2.82 | $4.91 | $8.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $16.71 / $54.97
| Facility | | $11.48 | $16.71 | $54.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $3.68 / $3.68
| Professional | | $3.68 | $3.68 | $3.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.06 / $21.09 / $49.47
| Facility | | $7.06 | $21.09 | $49.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.80 / $24.69 / $60.62
| Facility | | $5.80 | $24.69 | $60.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $5.22 / $38.00
| Professional | | $3.87 | $5.22 | $38.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.11 / $8.63 / $20.65
| Facility | | $4.11 | $8.63 | $20.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.57 / $7.02 / $9.73
| Professional | | $3.57 | $7.02 | $9.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.14 / $6.14 / $6.14
| Facility | | $6.14 | $6.14 | $6.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.40 / $6.14 / $8.09
| Professional | | $5.40 | $6.14 | $8.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $3.68 / $11.24
| Professional | | $2.58 | $3.68 | $11.24 |