- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.59 / $7.05 / $34.65
| Facility | | $2.59 | $7.05 | $34.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.74 / $3.64
| Professional | | $2.25 | $2.74 | $3.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.46 / $1.46 / $1.46
| Professional | | $1.46 | $1.46 | $1.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.05 / $3.05 / $7.93
| Facility | | $3.05 | $3.05 | $7.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.50 / $1.84 / $6.86
| Professional | | $1.50 | $1.84 | $6.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.83 / $3.05 / $3.05
| Facility | | $1.83 | $3.05 | $3.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.23 / $3.05 / $3.05
| Professional | | $2.23 | $3.05 | $3.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.13 / $6.36 / $30.70
| Facility | | $2.13 | $6.36 | $30.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $3.29 / $18.36
| Professional | | $2.17 | $3.29 | $18.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.50 / $3.97 / $332.00
| Facility | | $1.50 | $3.97 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.39 / $1.83 / $5.58
| Professional | | $1.39 | $1.83 | $5.58 |
- 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 / $2.90 / $3.67
| Professional | | $2.02 | $2.90 | $3.67 |
- 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
- $2.69 / $8.26 / $49.78
| Facility | | $2.69 | $8.26 | $49.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.81 / $7.66 / $39.25
| Facility | | $3.81 | $7.66 | $39.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $3.55 / $6.28
| Professional | | $2.37 | $3.55 | $6.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.37 / $1.83 / $4.79
| Professional | | $1.37 | $1.83 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.51 / $3.51 / $10.60
| Facility | | $3.51 | $3.51 | $10.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $3.21 / $3.82
| Professional | | $2.58 | $3.21 | $3.82 |