- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.61 / $11.62 / $20.83
| Facility | | $5.61 | $11.62 | $20.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $6.21 / $8.52
| Professional | | $2.58 | $6.21 | $8.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.31 / $7.31 / $19.01
| Facility | | $7.31 | $7.31 | $19.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $3.61 / $11.55
| Professional | | $1.93 | $3.61 | $11.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.38 / $7.31 / $7.31
| Facility | | $4.38 | $7.31 | $7.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.34 / $7.31 / $7.31
| Professional | | $5.34 | $7.31 | $7.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.11 / $14.84 / $37.56
| Facility | | $5.11 | $14.84 | $37.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $8.03 / $47.74
| Professional | | $5.42 | $8.03 | $47.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $10.38 / $332.00
| Facility | | $6.00 | $10.38 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $4.34 / $13.38
| Professional | | $3.34 | $4.34 | $13.38 |
- 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 / $6.94 / $9.69
| Professional | | $3.79 | $6.94 | $9.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.68 / $27.68 / $27.68
| Facility | | $27.68 | $27.68 | $27.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.89 / $17.88 / $98.18
| Facility | | $8.89 | $17.88 | $98.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $7.31 / $15.06
| Professional | | $5.62 | $7.31 | $15.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $4.19 / $10.74
| Professional | | $3.07 | $4.19 | $10.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.41 / $8.41 / $26.92
| Facility | | $8.41 | $8.41 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $7.91 / $10.16
| Professional | | $5.97 | $7.91 | $10.16 |