- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.84 / $2.02 / $19.85
| Facility | | $1.84 | $2.02 | $19.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $3.11 / $19.25
| Professional | | $1.88 | $3.11 | $19.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.23 / $2.69 / $7.12
| Facility | | $2.23 | $2.69 | $7.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $3.11 / $6.39
| Professional | | $3.11 | $3.11 | $6.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.25 / $9.42 / $14.55
| Facility | | $7.25 | $9.42 | $14.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $14.76 / $25.83
| Professional | | $3.72 | $14.76 | $25.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.14 / $4.13 / $4.13
| Facility | | $3.14 | $4.13 | $4.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $3.51 / $4.25
| Professional | | $3.51 | $3.51 | $4.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $6.87 / $8.24
| Professional | | $5.50 | $6.87 | $8.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $4.80 / $10.65
| Professional | | $4.12 | $4.80 | $10.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.21 / $34.21 / $220.93
| Professional | | $34.21 | $34.21 | $220.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.08 / $32.34 / $32.34
| Professional | | $14.08 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.89 / $6.08 / $6.88
| Facility | | $1.89 | $6.08 | $6.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $4.13 / $6.54
| Professional | | $3.51 | $4.13 | $6.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.98 / $12.98 / $12.98
| Professional | | $12.98 | $12.98 | $12.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $5.76 / $7.48
| Professional | | $5.50 | $5.76 | $7.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.74 / $3.11 / $9.19
| Professional | | $2.74 | $3.11 | $9.19 |