- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $7.13 / $23.09
| Facility | | $2.82 | $7.13 | $23.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $3.36 / $8.52
| Professional | | $1.90 | $3.36 | $8.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.67 / $1.67 / $1.67
| Professional | | $1.67 | $1.67 | $1.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.48 / $3.48 / $9.05
| Facility | | $3.48 | $3.48 | $9.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $2.09 / $6.09
| Professional | | $1.33 | $2.09 | $6.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.09 / $3.48 / $3.48
| Facility | | $2.09 | $3.48 | $3.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.48 / $3.48
| Professional | | $2.54 | $3.48 | $3.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.43 / $7.07 / $27.54
| Facility | | $2.43 | $7.07 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $3.74 / $5.81
| Professional | | $1.97 | $3.74 | $5.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $4.51 / $332.00
| Facility | | $1.00 | $4.51 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $2.89 / $6.37
| Professional | | $1.60 | $2.89 | $6.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.02 / $2.02 / $2.02
| Facility | | $2.02 | $2.02 | $2.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.58 / $3.91
| Professional | | $2.02 | $2.58 | $3.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.01 / $1.01 / $1.01
| Professional | | $1.01 | $1.01 | $1.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.52 / $5.21 / $13.17
| Facility | | $2.52 | $5.21 | $13.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.23 / $8.52 / $39.25
| Facility | | $4.23 | $8.52 | $39.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.52 / $5.81
| Professional | | $2.00 | $3.52 | $5.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.75 / $1.93 / $2.25
| Facility | | $1.75 | $1.93 | $2.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.71 / $2.09 / $6.17
| Professional | | $1.71 | $2.09 | $6.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $4.00 / $12.74
| Facility | | $4.00 | $4.00 | $12.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $3.03 / $4.18
| Professional | | $2.31 | $3.03 | $4.18 |