- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.90 / $64.22 / $160.50
| Facility | | $8.90 | $64.22 | $160.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.15 / $5.67 / $33.79
| Professional | | $4.15 | $5.67 | $33.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.70 / $3.23 / $3.74
| Professional | | $2.70 | $3.23 | $3.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.91 / $13.00 / $293.00
| Facility | | $5.91 | $13.00 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $4.24 / $12.49
| Professional | | $2.66 | $4.24 | $12.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.77 / $50.25 / $94.43
| Facility | | $16.77 | $50.25 | $94.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $4.76 / $25.87
| Professional | | $3.33 | $4.76 | $25.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.70 / $7.07 / $18.03
| Facility | | $3.70 | $7.07 | $18.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.48 / $6.56 / $9.64
| Professional | | $3.48 | $6.56 | $9.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $5.39 / $8.61
| Professional | | $4.79 | $5.39 | $8.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.30 / $5.39 / $12.40
| Professional | | $4.30 | $5.39 | $12.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.45 / $60.00 / $60.00
| Facility | | $29.45 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $3.23 / $3.23
| Professional | | $3.23 | $3.23 | $3.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $6.23 / $15.39
| Facility | | $4.47 | $6.23 | $15.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $5.39 / $10.78
| Professional | | $3.61 | $5.39 | $10.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.91 / $18.91 / $18.91
| Professional | | $18.91 | $18.91 | $18.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.30 / $5.39 / $7.55
| Professional | | $4.30 | $5.39 | $7.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.20 / $10.35
| Professional | | $2.25 | $3.20 | $10.35 |