- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.36 / $14.76 / $70.02
| Facility | | $6.36 | $14.76 | $70.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $6.00 / $9.07
| Professional | | $4.32 | $6.00 | $9.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.48 / $7.48 / $19.45
| Facility | | $7.48 | $7.48 | $19.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $4.07 / $14.72
| Professional | | $2.94 | $4.07 | $14.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.49 / $7.48 / $7.48
| Facility | | $4.49 | $7.48 | $7.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.46 / $7.48 / $7.48
| Professional | | $5.46 | $7.48 | $7.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.22 / $14.84 / $62.53
| Facility | | $5.22 | $14.84 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.21 / $7.67 / $44.07
| Professional | | $5.21 | $7.67 | $44.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.50 / $9.72 / $332.00
| Facility | | $4.50 | $9.72 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $4.49 / $13.69
| Professional | | $3.42 | $4.49 | $13.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.66 / $6.66 / $6.66
| Facility | | $6.66 | $6.66 | $6.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $7.11 / $8.99
| Professional | | $6.36 | $7.11 | $8.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $3.33 / $5.33
| Professional | | $3.33 | $3.33 | $5.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.88 / $14.10 / $33.32
| Facility | | $5.88 | $14.10 | $33.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.96 / $17.88 / $94.20
| Facility | | $8.96 | $17.88 | $94.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $8.00 / $15.31
| Professional | | $5.53 | $8.00 | $15.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.14 / $4.49 / $11.22
| Professional | | $3.14 | $4.49 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $8.60 / $25.38
| Facility | | $8.60 | $8.60 | $25.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.23 / $8.14 / $9.15
| Professional | | $6.23 | $8.14 | $9.15 |