- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.62 / $14.16 / $1,746.36
| Facility | | $7.62 | $14.16 | $1,746.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.21 / $6.03 / $15.02
| Professional | | $5.21 | $6.03 | $15.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $16.51 / $17.46
| Facility | | $13.65 | $16.51 | $17.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $2.54 / $25.91
| Professional | | $2.54 | $2.54 | $25.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.03 / $15.52 / $16.13
| Facility | | $4.03 | $15.52 | $16.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.12 / $20.01 / $30.69
| Facility | | $17.12 | $20.01 | $30.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $17.09 / $19.43
| Professional | | $7.43 | $17.09 | $19.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.18 / $3.18 / $7.62
| Facility | | $3.18 | $3.18 | $7.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.18 / $5.72 / $80.00
| Facility | | $3.18 | $5.72 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $5.25 / $11.43
| Professional | | $3.15 | $5.25 | $11.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $17.53 / $85.00
| Professional | | $3.18 | $17.53 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.18 / $3.18 / $7.62
| Facility | | $3.18 | $3.18 | $7.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.60 / $15.43 / $21.64
| Professional | | $7.60 | $15.43 | $21.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.70 / $12.70 / $80.00
| Facility | | $12.70 | $12.70 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.57 / $2.57
| Professional | | $2.45 | $2.57 | $2.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.52 / $13.52 / $39.14
| Professional | | $13.52 | $13.52 | $39.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.26 / $39.14 / $39.14
| Professional | | $15.26 | $39.14 | $39.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $5.08 / $16.84
| Professional | | $3.15 | $5.08 | $16.84 |