- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $72.44 / $309.03
| Facility | | $7.08 | $72.44 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.89 / $10.23
| Professional | | $3.98 | $5.89 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $4.90 / $7.08
| Professional | | $4.17 | $4.90 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $19.50 / $39.81
| Facility | | $6.31 | $19.50 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $4.90 / $6.17
| Professional | | $4.57 | $4.90 | $6.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $10.47 / $15.85
| Facility | | $7.08 | $10.47 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $7.08 / $12.02
| Professional | | $4.90 | $7.08 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $7.08
| Facility | | $7.08 | $7.08 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $15.49 / $38.02
| Facility | | $6.92 | $15.49 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $5.37 / $12.02
| Professional | | $3.72 | $5.37 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $60.26
| Facility | | $60.26 | $60.26 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $7.41 / $218.78
| Facility | | $5.62 | $7.41 | $218.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $10.72
| Professional | | $3.98 | $6.03 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.89 / $5.89
| Professional | | $5.25 | $5.89 | $5.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $7.08 / $20.42
| Facility | | $5.62 | $7.08 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.50 / $11.75
| Professional | | $4.07 | $5.50 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.51 / $4.17 / $7.08
| Facility | | $2.51 | $4.17 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.07 / $6.03
| Professional | | $2.95 | $4.07 | $6.03 |