- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.04 / $9.32 / $42.01
| Facility | | $4.04 | $9.32 | $42.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.71 / $4.13 / $5.67
| Professional | | $3.71 | $4.13 | $5.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $2.27 / $2.27
| Professional | | $2.27 | $2.27 | $2.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.75 / $4.75 / $12.35
| Facility | | $4.75 | $4.75 | $12.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.87 / $10.45
| Professional | | $2.34 | $2.87 | $10.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.85 / $4.75 / $4.75
| Facility | | $2.85 | $4.75 | $4.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.75 / $4.75
| Professional | | $3.47 | $4.75 | $4.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.32 / $9.89 / $48.04
| Facility | | $3.32 | $9.89 | $48.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $5.78 / $31.22
| Professional | | $3.65 | $5.78 | $31.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $6.65 / $332.00
| Facility | | $3.50 | $6.65 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $2.85 / $8.69
| Professional | | $2.17 | $2.85 | $8.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.75 / $4.75 / $4.75
| Facility | | $4.75 | $4.75 | $4.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $4.75 / $5.80
| Professional | | $3.97 | $4.75 | $5.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $3.80 / $3.80
| Professional | | $3.80 | $3.80 | $3.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.82 / $8.56 / $30.60
| Facility | | $3.82 | $8.56 | $30.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.93 / $11.91 / $62.80
| Facility | | $5.93 | $11.91 | $62.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $4.75 / $9.78
| Professional | | $2.48 | $4.75 | $9.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.85 / $6.89
| Professional | | $2.14 | $2.85 | $6.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.46 / $5.46 / $16.14
| Facility | | $5.46 | $5.46 | $16.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $4.98 / $6.13
| Professional | | $3.94 | $4.98 | $6.13 |