- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $5.09 / $14.86
| Facility | | $3.47 | $5.09 | $14.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.99 / $5.17 / $7.96
| Professional | | $3.99 | $5.17 | $7.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $5.22 / $5.52
| Professional | | $4.73 | $5.22 | $5.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.03 / $8.32 / $21.88
| Facility | | $5.03 | $8.32 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $3.75 / $4.20
| Professional | | $3.75 | $3.75 | $4.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.52 / $6.70 / $11.03
| Professional | | $5.52 | $6.70 | $11.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.88 / $8.69 / $8.69
| Facility | | $7.88 | $8.69 | $8.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $5.57 / $5.57
| Facility | | $4.00 | $5.57 | $5.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $4.73 / $5.74
| Professional | | $4.73 | $4.73 | $5.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.16 / $46.16 / $65.70
| Professional | | $46.16 | $46.16 | $65.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $5.91 / $8.23
| Facility | | $2.54 | $5.91 | $8.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $7.25 / $8.16
| Professional | | $4.82 | $7.25 | $8.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $6.30 / $6.30
| Professional | | $6.30 | $6.30 | $6.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $5.64 / $7.98
| Facility | | $2.54 | $5.64 | $7.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $4.73 / $7.15
| Professional | | $4.73 | $4.73 | $7.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.28 / $4.26 / $5.64
| Professional | | $3.28 | $4.26 | $5.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $4.00 / $7.88
| Professional | | $4.00 | $4.00 | $7.88 |