- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.33 / $2.54 / $25.09
| Facility | | $2.33 | $2.54 | $25.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.92 / $25.09
| Professional | | $2.42 | $3.92 | $25.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.83 / $3.37 / $5.69
| Facility | | $2.83 | $3.37 | $5.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $3.86 / $8.08
| Professional | | $3.86 | $3.86 | $8.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.14 / $12.83 / $18.39
| Facility | | $9.14 | $12.83 | $18.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $21.98 / $32.69
| Professional | | $10.11 | $21.98 | $32.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $4.45 / $4.45
| Professional | | $4.45 | $4.45 | $4.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $9.56 / $11.73
| Professional | | $8.69 | $9.56 | $11.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $10.86 / $19.98
| Professional | | $5.00 | $10.86 | $19.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $80.00 / $85.00
| Facility | | $17.64 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.28 / $43.28 / $397.13
| Professional | | $43.28 | $43.28 | $397.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.23 / $8.69 / $11.80
| Facility | | $6.23 | $8.69 | $11.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.45 / $4.45 / $9.30
| Professional | | $4.45 | $4.45 | $9.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.41 / $16.41 / $16.41
| Professional | | $16.41 | $16.41 | $16.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $7.16 / $11.29
| Professional | | $5.51 | $7.16 | $11.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $3.92 / $12.19
| Professional | | $3.47 | $3.92 | $12.19 |