- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.64 / $85.84 / $343.18
| Facility | | $7.64 | $85.84 | $343.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $2.77 / $5.54
| Professional | | $2.06 | $2.77 | $5.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.52 / $1.90 / $3.17
| Professional | | $1.52 | $1.90 | $3.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.22 / $8.57 / $17.63
| Facility | | $2.22 | $8.57 | $17.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $3.17 / $5.50
| Professional | | $1.87 | $3.17 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.85 / $5.23 / $22.20
| Facility | | $2.85 | $5.23 | $22.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.38 / $3.17 / $5.40
| Professional | | $2.38 | $3.17 | $5.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.17 / $3.17 / $3.17
| Facility | | $3.17 | $3.17 | $3.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.52 / $6.91 / $15.88
| Facility | | $2.52 | $6.91 | $15.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $3.47 / $5.65
| Professional | | $1.84 | $3.47 | $5.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.33 / $60.00 / $60.00
| Facility | | $27.33 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $4.44 / $5.75
| Professional | | $2.85 | $4.44 | $5.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.72 / $3.80 / $185.50
| Facility | | $2.72 | $3.80 | $185.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $3.17 / $7.13
| Professional | | $2.85 | $3.17 | $7.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $3.17 / $7.97
| Facility | | $2.54 | $3.17 | $7.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.89 / $3.17 / $5.17
| Professional | | $1.89 | $3.17 | $5.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $2.59 / $3.17
| Professional | | $1.90 | $2.59 | $3.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.24 / $1.57 / $3.17
| Professional | | $1.24 | $1.57 | $3.17 |