- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.06 / $18.27 / $67.48
| Facility | | $3.06 | $18.27 | $67.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $3.06 / $4.82
| Professional | | $2.41 | $3.06 | $4.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $1.93 / $2.41
| Professional | | $1.93 | $1.93 | $2.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.48 / $12.40 / $22.79
| Facility | | $4.48 | $12.40 | $22.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $3.94 / $5.50
| Professional | | $2.21 | $3.94 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $5.88 / $19.43
| Facility | | $3.72 | $5.88 | $19.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $4.00 / $6.83
| Professional | | $2.79 | $4.00 | $6.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $4.01 / $4.01
| Facility | | $4.01 | $4.01 | $4.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.81 / $7.22 / $18.10
| Facility | | $2.81 | $7.22 | $18.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.12 / $3.30 / $6.20
| Professional | | $2.12 | $3.30 | $6.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.92 / $4.01 / $4.92
| Facility | | $2.92 | $4.01 | $4.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.92 / $4.01 / $4.42
| Professional | | $3.92 | $4.01 | $4.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.92 / $4.01 / $9.61
| Facility | | $2.92 | $4.01 | $9.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.12 / $3.47 / $4.57
| Professional | | $2.12 | $3.47 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.91 / $4.01 / $5.22
| Facility | | $1.91 | $4.01 | $5.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $2.61 / $4.01
| Professional | | $2.41 | $2.61 | $4.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.57 / $1.61 / $4.01
| Professional | | $1.57 | $1.61 | $4.01 |