- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $75.86 / $316.23
| Facility | | $5.62 | $75.86 | $316.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.82 / $9.12
| Professional | | $2.00 | $2.82 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.91 / $4.47
| Professional | | $1.41 | $1.91 | $4.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $8.13 / $17.78
| Facility | | $2.04 | $8.13 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.24 / $5.50
| Professional | | $2.04 | $2.24 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $5.37 / $213.80
| Facility | | $2.95 | $5.37 | $213.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $3.24 / $5.37
| Professional | | $2.24 | $3.24 | $5.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $3.16 / $3.16
| Facility | | $3.16 | $3.16 | $3.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $6.92 / $16.60
| Facility | | $3.16 | $6.92 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $3.47 / $5.50
| Professional | | $1.91 | $3.47 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $60.26
| Facility | | $60.26 | $60.26 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $4.17 / $6.03
| Professional | | $2.75 | $4.17 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $53.70 / $229.09
| Facility | | $2.75 | $53.70 | $229.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $3.02 / $8.91
| Professional | | $1.95 | $3.02 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.63 / $2.63
| Professional | | $2.34 | $2.63 | $2.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.51 / $3.16 / $9.33
| Facility | | $2.51 | $3.16 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $3.31 / $5.37
| Professional | | $2.04 | $3.31 | $5.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.12 / $1.91 / $3.16
| Facility | | $1.12 | $1.91 | $3.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $2.57 / $3.31
| Professional | | $1.91 | $2.57 | $3.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.23 / $1.23 / $3.16
| Professional | | $1.23 | $1.23 | $3.16 |