- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.46 / $5.79 / $6.57
| Facility | | $4.46 | $5.79 | $6.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.92 / $5.87 / $7.82
| Professional | | $3.92 | $5.87 | $7.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $4.57 / $5.36
| Professional | | $4.38 | $4.57 | $5.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.71 / $9.88 / $24.96
| Facility | | $5.71 | $9.88 | $24.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $4.25 / $4.76
| Professional | | $4.25 | $4.25 | $4.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.80 / $7.14 / $8.93
| Professional | | $5.80 | $7.14 | $8.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.93 / $296.12 / $296.12
| Facility | | $8.93 | $296.12 | $296.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $5.40 / $5.40
| Facility | | $2.88 | $5.40 | $5.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $4.59 / $5.40
| Professional | | $4.59 | $4.59 | $5.40 |
- 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
- $61.61 / $63.09 / $565.54
| Professional | | $61.61 | $63.09 | $565.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.46 / $6.57 / $8.93
| Facility | | $2.46 | $6.57 | $8.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.03 / $8.03 / $9.38
| Professional | | $3.03 | $8.03 | $9.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.10 / $6.10 / $6.10
| Professional | | $6.10 | $6.10 | $6.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.46 / $6.40 / $8.93
| Facility | | $2.46 | $6.40 | $8.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $4.59 / $7.47
| Professional | | $4.59 | $4.59 | $7.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $4.13 / $5.46
| Professional | | $3.18 | $4.13 | $5.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.44 / $3.44 / $8.93
| Professional | | $3.44 | $3.44 | $8.93 |