- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.87 / $25.72 / $66.88
| Facility | | $5.87 | $25.72 | $66.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $4.29 / $5.69
| Professional | | $3.42 | $4.29 | $5.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $2.85 / $4.74
| Professional | | $2.37 | $2.85 | $4.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.19 / $5.21 / $8.39
| Facility | | $4.19 | $5.21 | $8.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.34 / $5.11
| Professional | | $2.34 | $2.34 | $5.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.99 / $2.99 / $2.99
| Facility | | $2.99 | $2.99 | $2.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $3.32 / $3.79
| Professional | | $3.32 | $3.32 | $3.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.56 / $4.98 / $6.40
| Facility | | $3.56 | $4.98 | $6.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.08 / $4.86 / $7.81
| Professional | | $3.08 | $4.86 | $7.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $4.88 / $13.89
| Facility | | $3.08 | $4.88 | $13.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $3.80 / $7.23
| Professional | | $2.48 | $3.80 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.88 / $20.29 / $50.18
| Facility | | $4.88 | $20.29 | $50.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.23 / $3.81 / $8.90
| Professional | | $2.23 | $3.81 | $8.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $3.91 / $5.69
| Professional | | $3.56 | $3.91 | $5.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $4.74 / $4.74
| Facility | | $3.08 | $4.74 | $4.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.99 / $2.84 / $6.63
| Professional | | $1.99 | $2.84 | $6.63 |