- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.22 / $17.85 / $61.14
| Facility | | $4.22 | $17.85 | $61.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.22 / $3.19 / $3.58
| Professional | | $2.22 | $3.19 | $3.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.72 / $2.15 / $2.49
| Professional | | $1.72 | $2.15 | $2.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.44 / $11.81 / $21.55
| Facility | | $4.44 | $11.81 | $21.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $3.58 / $5.50
| Professional | | $1.90 | $3.58 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $5.73 / $21.95
| Facility | | $3.58 | $5.73 | $21.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.22 / $5.73
| Professional | | $2.69 | $3.22 | $5.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $3.58 / $3.58
| Facility | | $3.58 | $3.58 | $3.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.87 / $7.88 / $18.51
| Facility | | $2.87 | $7.88 | $18.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $2.75 / $6.02
| Professional | | $1.90 | $2.75 | $6.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.86 / $3.58 / $5.26
| Facility | | $2.86 | $3.58 | $5.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $3.58 / $4.66
| Professional | | $3.22 | $3.58 | $4.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.90 / $3.58 / $8.93
| Facility | | $2.90 | $3.58 | $8.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $3.00 / $5.17
| Professional | | $1.90 | $3.00 | $5.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.25 / $2.64 / $4.48
| Facility | | $1.25 | $2.64 | $4.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $2.93 / $3.58
| Professional | | $2.15 | $2.93 | $3.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $1.77 / $3.58
| Professional | | $1.77 | $1.77 | $3.58 |