- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $16.60 / $61.66
| Facility | | $3.80 | $16.60 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $2.04 / $13.80
| Professional | | $1.86 | $2.04 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $3.16 / $60.26
| Facility | | $2.04 | $3.16 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $2.24 / $4.79
| Professional | | $1.26 | $2.24 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $5.75 / $9.12
| Facility | | $4.57 | $5.75 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.14 / $2.14
| Professional | | $2.14 | $2.14 | $2.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $3.55 / $8.71
| Facility | | $1.74 | $3.55 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $2.88 / $3.72
| Professional | | $1.48 | $2.88 | $3.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.69 / $13.80 / $7,079.46
| Facility | | $2.69 | $13.80 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.95 / $4.07
| Professional | | $2.34 | $2.95 | $4.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $2.24 / $6.76
| Professional | | $2.24 | $2.24 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $4.17 / $30.20
| Facility | | $2.75 | $4.17 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $3.16 / $60.26
| Facility | | $2.04 | $3.16 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $2.24 / $4.79
| Professional | | $1.35 | $2.24 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $2.51 / $5.13
| Facility | | $2.00 | $2.51 | $5.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.29 / $3.39
| Professional | | $2.00 | $2.29 | $3.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.29 / $2.24 / $3.63
| Facility | | $1.29 | $2.24 | $3.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $2.24 / $5.37
| Professional | | $1.26 | $2.24 | $5.37 |