- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.64 / $4.88 / $38.07
| Facility | | $1.64 | $4.88 | $38.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.65 / $3.88
| Professional | | $1.30 | $1.65 | $3.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.09 / $1.30 / $1.30
| Professional | | $1.09 | $1.30 | $1.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $6.94 / $13.00
| Facility | | $2.54 | $6.94 | $13.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.19 / $2.15 / $5.50
| Professional | | $1.19 | $2.15 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.17 / $2.17 / $2.49
| Facility | | $2.17 | $2.17 | $2.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.52 / $4.74 / $10.59
| Facility | | $1.52 | $4.74 | $10.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.14 / $1.61 / $3.83
| Professional | | $1.14 | $1.61 | $3.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $2.17 / $2.82
| Facility | | $1.74 | $2.17 | $2.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $2.17 / $3.58
| Professional | | $1.84 | $2.17 | $3.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $2.17 / $5.45
| Facility | | $1.74 | $2.17 | $5.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.14 / $1.67 / $3.13
| Professional | | $1.14 | $1.67 | $3.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.30 / $2.17 / $3.56
| Facility | | $1.30 | $2.17 | $3.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $1.77 / $2.27
| Professional | | $1.30 | $1.77 | $2.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.85 / $1.07 / $2.17
| Professional | | $0.85 | $1.07 | $2.17 |