- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.33 / $11.73 / $30.14
| Facility | | $4.33 | $11.73 | $30.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $4.59 / $5.09
| Professional | | $3.78 | $4.59 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.09 / $5.09 / $13.26
| Facility | | $5.09 | $5.09 | $13.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.06 / $10.82
| Professional | | $2.25 | $3.06 | $10.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.06 / $5.09 / $5.09
| Facility | | $3.06 | $5.09 | $5.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $5.09 / $5.09
| Professional | | $3.72 | $5.09 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.56 / $10.60 / $51.50
| Facility | | $3.56 | $10.60 | $51.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.69 / $5.78 / $33.07
| Professional | | $3.69 | $5.78 | $33.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $7.14 / $332.00
| Facility | | $4.00 | $7.14 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $3.06 / $9.33
| Professional | | $2.33 | $3.06 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.09 / $5.09 / $5.09
| Facility | | $5.09 | $5.09 | $5.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $5.09 / $6.13
| Professional | | $3.97 | $5.09 | $6.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $4.49 / $16.45
| Facility | | $3.39 | $4.49 | $16.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.35 / $12.77 / $66.78
| Facility | | $6.35 | $12.77 | $66.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.70 / $4.44 / $10.51
| Professional | | $2.70 | $4.44 | $10.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $3.06 / $7.51
| Professional | | $2.14 | $3.06 | $7.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.86 / $5.86 / $16.14
| Facility | | $5.86 | $5.86 | $16.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $5.16 / $6.58
| Professional | | $3.94 | $5.16 | $6.58 |