- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.87 / $16.16 / $86.92
| Facility | | $6.87 | $16.16 | $86.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $6.98 / $8.08
| Professional | | $6.00 | $6.98 | $8.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.08 / $8.08 / $21.01
| Facility | | $8.08 | $8.08 | $21.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.99 / $4.88 / $18.23
| Professional | | $3.99 | $4.88 | $18.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.84 / $8.08 / $8.08
| Facility | | $4.84 | $8.08 | $8.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $8.08 / $8.08
| Professional | | $5.90 | $8.08 | $8.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.64 / $17.05 / $83.90
| Facility | | $5.64 | $17.05 | $83.90 |
- 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
- $7.60 / $12.16 / $332.00
| Facility | | $7.60 | $12.16 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.69 / $4.84 / $14.79
| Professional | | $3.69 | $4.84 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.08 / $8.08 / $8.08
| Facility | | $8.08 | $8.08 | $8.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $8.08 / $10.73
| Professional | | $7.12 | $8.08 | $10.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.46 / $10.81 / $35.99
| Facility | | $5.46 | $10.81 | $35.99 |
- 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
- $6.48 / $11.11 / $20.00
| Professional | | $6.48 | $11.11 | $20.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $4.84 / $12.12
| Professional | | $3.39 | $4.84 | $12.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.28 / $9.28 / $29.76
| Facility | | $9.28 | $9.28 | $29.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $9.07 / $15.32
| Professional | | $7.12 | $9.07 | $15.32 |