- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $26.30 / $72.44
| Facility | | $7.41 | $26.30 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $5.25 / $27.54
| Professional | | $3.02 | $5.25 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $3.02 / $4.37
| Professional | | $2.19 | $3.02 | $4.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $10.23 / $21.88
| Facility | | $3.72 | $10.23 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $3.72 / $14.45
| Professional | | $2.14 | $3.72 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $33.88 / $61.66
| Facility | | $9.77 | $33.88 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.01 / $11.75
| Professional | | $3.47 | $5.01 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $7.24 / $15.85
| Facility | | $2.88 | $7.24 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $5.13 / $7.41
| Professional | | $2.82 | $5.13 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $4.37 / $6.92
| Professional | | $3.89 | $4.37 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.37 / $9.77
| Professional | | $3.47 | $4.37 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $100.00
| Facility | | $60.26 | $60.26 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $3.98 / $7.41
| Professional | | $3.55 | $3.98 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $5.25 / $5.25
| Professional | | $2.63 | $5.25 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $5.25 / $12.88
| Facility | | $3.63 | $5.25 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $5.25 / $9.55
| Professional | | $2.88 | $5.25 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $15.14 / $15.14
| Professional | | $15.14 | $15.14 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.47 / $7.41
| Professional | | $3.47 | $4.47 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $2.95 / $4.37
| Facility | | $1.95 | $2.95 | $4.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $2.63 / $8.71
| Professional | | $1.82 | $2.63 | $8.71 |