- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.67 / $14.68 / $29.05
| Facility | | $5.67 | $14.68 | $29.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $6.54 / $9.51
| Professional | | $2.58 | $6.54 | $9.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $8.19 / $21.32
| Facility | | $8.19 | $8.19 | $21.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $3.62 / $11.82
| Professional | | $1.93 | $3.62 | $11.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.92 / $8.19 / $8.19
| Facility | | $4.92 | $8.19 | $8.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.99 / $8.19 / $8.19
| Professional | | $5.99 | $8.19 | $8.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.73 / $16.96 / $37.56
| Facility | | $5.73 | $16.96 | $37.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.31 / $47.74
| Professional | | $5.00 | $6.31 | $47.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $11.48 / $332.00
| Facility | | $6.00 | $11.48 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $4.88 / $15.01
| Professional | | $3.75 | $4.88 | $15.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.79 / $3.79 / $3.79
| Facility | | $3.79 | $3.79 | $3.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $7.04 / $9.72
| Professional | | $3.79 | $7.04 | $9.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.96 / $27.96 / $27.96
| Facility | | $27.96 | $27.96 | $27.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.46 / $5.46 / $5.46
| Professional | | $5.46 | $5.46 | $5.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.16 / $20.43 / $98.18
| Facility | | $10.16 | $20.43 | $98.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $7.62 / $15.91
| Professional | | $5.64 | $7.62 | $15.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.92 / $12.04
| Professional | | $2.95 | $4.92 | $12.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.43 / $9.43 / $26.96
| Facility | | $9.43 | $9.43 | $26.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.99 / $8.52 / $9.86
| Professional | | $5.99 | $8.52 | $9.86 |