- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.54 / $13.94 / $46.12
| Facility | | $6.54 | $13.94 | $46.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $6.94 / $13.42
| Professional | | $4.50 | $6.94 | $13.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.71 / $7.71 / $20.05
| Facility | | $7.71 | $7.71 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $4.66 / $17.38
| Professional | | $3.68 | $4.66 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.63 / $7.71 / $7.71
| Facility | | $4.63 | $7.71 | $7.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.63 / $7.71 / $7.71
| Professional | | $5.63 | $7.71 | $7.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $15.55 / $78.02
| Facility | | $5.39 | $15.55 | $78.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $8.77 / $49.59
| Professional | | $5.64 | $8.77 | $49.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $11.57 / $332.00
| Facility | | $6.50 | $11.57 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $4.63 / $14.11
| Professional | | $3.52 | $4.63 | $14.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.71 / $7.71 / $7.71
| Facility | | $7.71 | $7.71 | $7.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $7.71 / $10.23
| Professional | | $6.80 | $7.71 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $3.86 / $3.86
| Professional | | $3.86 | $3.86 | $3.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.62 / $19.27 / $35.20
| Facility | | $6.62 | $19.27 | $35.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.31 / $18.73 / $102.16
| Facility | | $9.31 | $18.73 | $102.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $10.60 / $16.89
| Professional | | $6.13 | $10.60 | $16.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.63 / $12.64
| Professional | | $3.24 | $4.63 | $12.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $28.40
| Facility | | $8.86 | $8.86 | $28.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $8.66 / $12.97
| Professional | | $6.80 | $8.66 | $12.97 |