- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.30 / $12.54 / $198.83
| Facility | | $3.30 | $12.54 | $198.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $2.82 / $5.35
| Professional | | $2.35 | $2.82 | $5.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.51 / $1.59 / $86.00
| Professional | | $1.51 | $1.59 | $86.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.17 / $3.17 / $8.24
| Facility | | $3.17 | $3.17 | $8.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.57 / $1.93 / $7.18
| Professional | | $1.57 | $1.93 | $7.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.90 / $3.17 / $3.17
| Facility | | $1.90 | $3.17 | $3.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $3.17 / $3.17
| Professional | | $2.31 | $3.17 | $3.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.21 / $6.36 / $32.97
| Facility | | $2.21 | $6.36 | $32.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $4.48 / $6.86
| Professional | | $2.44 | $4.48 | $6.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $4.12 / $332.00
| Facility | | $2.00 | $4.12 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $1.90 / $5.80
| Professional | | $1.45 | $1.90 | $5.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.17 / $3.17 / $3.17
| Facility | | $3.17 | $3.17 | $3.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $3.17 / $4.21
| Professional | | $2.79 | $3.17 | $4.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $1.90 / $1.90
| Professional | | $1.90 | $1.90 | $1.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.49 / $7.37 / $35.35
| Facility | | $2.49 | $7.37 | $35.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.81 / $7.66 / $43.23
| Facility | | $3.81 | $7.66 | $43.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $4.17 / $6.53
| Professional | | $2.50 | $4.17 | $6.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $2.06 / $4.76
| Professional | | $1.60 | $2.06 | $4.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.65 / $3.65 / $11.69
| Facility | | $3.65 | $3.65 | $11.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.79 / $3.46 / $5.05
| Professional | | $2.79 | $3.46 | $5.05 |