- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $62.67 / $229.09
| Facility | | $8.71 | $62.67 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.07 / $14.73
| Professional | | $3.63 | $4.07 | $14.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.56 / $3.84
| Professional | | $2.14 | $2.56 | $3.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $10.30 / $293.00
| Facility | | $4.68 | $10.30 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $3.36 / $10.53
| Professional | | $2.11 | $3.36 | $10.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.77 / $38.02 / $74.44
| Facility | | $10.77 | $38.02 | $74.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $3.78 / $20.50
| Professional | | $2.65 | $3.78 | $20.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $5.62 / $14.32
| Facility | | $2.95 | $5.62 | $14.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $5.01 / $6.98
| Professional | | $2.78 | $5.01 | $6.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $4.26 / $6.83
| Professional | | $3.46 | $4.26 | $6.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $4.26 / $9.68
| Professional | | $3.42 | $4.26 | $9.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.16 / $25.10
| Professional | | $5.75 | $7.16 | $25.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $2.56 / $2.56
| Professional | | $2.56 | $2.56 | $2.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.54 / $5.12 / $13.00
| Facility | | $3.54 | $5.12 | $13.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $4.26 / $8.53
| Professional | | $2.78 | $4.26 | $8.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.98 / $14.98 / $14.98
| Professional | | $14.98 | $14.98 | $14.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $4.26 / $5.98
| Professional | | $3.42 | $4.26 | $5.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $2.56 / $9.61
| Professional | | $1.79 | $2.56 | $9.61 |