- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $13.80 / $40.74
| Facility | | $5.25 | $13.80 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $30.20
| Professional | | $3.98 | $6.03 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $6.61 / $17.38
| Facility | | $6.61 | $6.61 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $3.39 / $15.49
| Professional | | $3.31 | $3.39 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $6.61 / $6.61
| Facility | | $3.98 | $6.61 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $6.61 / $6.61
| Professional | | $4.90 | $6.61 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $14.45 / $72.44
| Facility | | $4.68 | $14.45 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $9.77 / $39.81
| Professional | | $4.37 | $9.77 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $8.13 / $20.42
| Facility | | $5.01 | $8.13 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.98 / $12.88
| Professional | | $3.16 | $3.98 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.31 / $3.31
| Facility | | $3.31 | $3.31 | $3.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $3.47 / $7.08
| Professional | | $1.70 | $3.47 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $8.32 / $31.62
| Facility | | $5.37 | $8.32 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.19 / $12.02 / $50,118.72
| Facility | | $2.19 | $12.02 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $8.32
| Facility | | $3.98 | $6.03 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $3.98 / $10.00
| Professional | | $2.82 | $3.98 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.98 / $7.76
| Facility | | $3.31 | $3.98 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $5.62 / $17.78
| Professional | | $1.86 | $5.62 | $17.78 |