- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.30 / $7.04 / $19.10
| Facility | | $3.30 | $7.04 | $19.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $3.76 / $7.81
| Professional | | $2.35 | $3.76 | $7.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $4.01 / $10.45
| Facility | | $4.01 | $4.01 | $10.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $2.41 / $7.35
| Professional | | $1.61 | $2.41 | $7.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.41 / $4.01 / $4.01
| Facility | | $2.41 | $4.01 | $4.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.93 / $4.01 / $4.01
| Professional | | $2.93 | $4.01 | $4.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.81 / $8.47 / $32.97
| Facility | | $2.81 | $8.47 | $32.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $4.48 / $19.38
| Professional | | $2.06 | $4.48 | $19.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $5.23 / $332.00
| Facility | | $2.00 | $5.23 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $3.58 / $7.36
| Professional | | $1.85 | $3.58 | $7.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $4.00 / $4.00
| Facility | | $4.00 | $4.00 | $4.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.00 / $4.83
| Professional | | $2.95 | $4.00 | $4.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $2.40
| Professional | | $2.40 | $2.40 | $2.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $4.80 / $4.80
| Facility | | $4.80 | $4.80 | $4.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.68 / $2.68 / $2.68
| Professional | | $2.68 | $2.68 | $2.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.08 / $10.21 / $43.23
| Facility | | $5.08 | $10.21 | $43.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $4.48 / $6.95
| Professional | | $2.50 | $4.48 | $6.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $2.41 / $7.33
| Professional | | $2.06 | $2.41 | $7.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.62 / $4.62 / $12.55
| Facility | | $4.62 | $4.62 | $12.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $3.82 / $5.16
| Professional | | $2.86 | $3.82 | $5.16 |