- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.73 / $8.26 / $17.00
| Facility | | $3.73 | $8.26 | $17.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $4.22 / $5.48
| Professional | | $3.19 | $4.22 | $5.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $2.13 / $2.13
| Professional | | $2.13 | $2.13 | $2.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.72 / $4.72 / $12.27
| Facility | | $4.72 | $4.72 | $12.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $2.62 / $9.27
| Professional | | $1.90 | $2.62 | $9.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.83 / $4.72 / $4.72
| Facility | | $2.83 | $4.72 | $4.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $4.72 / $4.72
| Professional | | $3.45 | $4.72 | $4.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.29 / $9.89 / $46.14
| Facility | | $3.29 | $9.89 | $46.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.48 / $27.05
| Professional | | $3.47 | $5.48 | $27.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $6.15 / $332.00
| Facility | | $3.00 | $6.15 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $2.83 / $8.64
| Professional | | $2.16 | $2.83 | $8.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.83 / $2.83 / $2.83
| Facility | | $2.83 | $2.83 | $2.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $3.46 / $4.95
| Professional | | $2.41 | $3.46 | $4.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.42 / $1.42
| Professional | | $1.42 | $1.42 | $1.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $9.11 / $10.80
| Facility | | $4.17 | $9.11 | $10.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.93 / $11.91 / $62.80
| Facility | | $5.93 | $11.91 | $62.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.76 / $5.48 / $9.72
| Professional | | $3.76 | $5.48 | $9.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $2.83 / $7.08
| Professional | | $1.98 | $2.83 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.43 / $5.43 / $9.61
| Facility | | $5.43 | $5.43 | $9.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $4.01 / $5.67
| Professional | | $2.35 | $4.01 | $5.67 |