- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.75 / $26.15 / $141.13
| Facility | | $4.75 | $26.15 | $141.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $4.47 / $7.06
| Professional | | $3.29 | $4.47 | $7.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $2.82 / $5.88
| Professional | | $2.82 | $2.82 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.88 / $18.11 / $33.64
| Facility | | $5.88 | $18.11 | $33.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.00 / $5.82
| Professional | | $3.12 | $5.00 | $5.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.59 / $8.82 / $48.84
| Facility | | $5.59 | $8.82 | $48.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.76 / $5.76 / $5.88
| Facility | | $5.76 | $5.76 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.11 / $12.78 / $29.10
| Facility | | $4.11 | $12.78 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $4.33 / $9.85
| Professional | | $3.12 | $4.33 | $9.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.70 / $5.88 / $8.75
| Facility | | $4.70 | $5.88 | $8.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $5.88 / $7.67
| Professional | | $5.50 | $5.88 | $7.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.70 / $5.88 / $14.67
| Facility | | $4.70 | $5.88 | $14.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $4.53 / $8.43
| Professional | | $3.12 | $4.53 | $8.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $3.40 / $4.87
| Professional | | $2.47 | $3.40 | $4.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.90 / $5.88
| Professional | | $2.29 | $2.90 | $5.88 |