- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.33 / $7.61 / $23.91
| Facility | | $3.33 | $7.61 | $23.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $3.53 / $6.94
| Professional | | $3.06 | $3.53 | $6.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.92 / $3.92 / $10.19
| Facility | | $3.92 | $3.92 | $10.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $2.35 / $7.28
| Professional | | $1.48 | $2.35 | $7.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.35 / $3.92 / $3.92
| Facility | | $2.35 | $3.92 | $3.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $3.92 / $3.92
| Professional | | $2.86 | $3.92 | $3.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.74 / $7.77 / $30.92
| Facility | | $2.74 | $7.77 | $30.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.54 / $25.70
| Professional | | $3.02 | $4.54 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $5.88 / $332.00
| Facility | | $3.50 | $5.88 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.57 / $2.33 / $7.17
| Professional | | $1.57 | $2.33 | $7.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.41
| Facility | | $1.41 | $1.41 | $1.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $3.72 / $4.71
| Professional | | $1.41 | $3.72 | $4.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.71 / $0.71 / $1.12
| Professional | | $0.71 | $0.71 | $1.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.15 / $10.61 / $23.44
| Facility | | $3.15 | $10.61 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.66 / $9.36 / $51.08
| Facility | | $4.66 | $9.36 | $51.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $3.90 / $8.08
| Professional | | $2.65 | $3.90 | $8.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $2.69 / $2.96
| Facility | | $2.54 | $2.69 | $2.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $2.35 / $5.66
| Professional | | $1.98 | $2.35 | $5.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $4.51 / $14.45
| Facility | | $4.51 | $4.51 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $4.11 / $5.21
| Professional | | $2.78 | $4.11 | $5.21 |