- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.80 / $3.30 / $439.55
| Facility | | $2.80 | $3.30 | $439.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.91 / $4.87 / $30.12
| Professional | | $2.91 | $4.87 | $30.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $4.04 / $6.83
| Facility | | $3.39 | $4.04 | $6.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $4.63 / $9.71
| Professional | | $4.63 | $4.63 | $9.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.97 / $15.40 / $22.08
| Facility | | $10.97 | $15.40 | $22.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.14 / $26.39 / $39.27
| Professional | | $12.14 | $26.39 | $39.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $5.33 / $5.33
| Professional | | $5.33 | $5.33 | $5.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $11.48 / $14.09
| Professional | | $10.44 | $11.48 | $14.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $13.05 / $24.01
| Professional | | $6.00 | $13.05 | $24.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.19 / $80.00 / $85.00
| Facility | | $21.19 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.99 / $51.99 / $78.30
| Professional | | $51.99 | $51.99 | $78.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.48 / $10.44 / $14.30
| Facility | | $7.48 | $10.44 | $14.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $5.33 / $11.43
| Professional | | $5.33 | $5.33 | $11.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.70 / $19.70 / $19.70
| Professional | | $19.70 | $19.70 | $19.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $4.67 / $8.35
| Professional | | $2.27 | $4.67 | $8.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.16 / $4.71 / $14.64
| Professional | | $4.16 | $4.71 | $14.64 |