- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $9.12 / $26.30
| Facility | | $3.24 | $9.12 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.89 / $5.89
| Professional | | $3.02 | $3.89 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $2.95 / $2.95
| Professional | | $2.95 | $2.95 | $2.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $16.60 / $28.84
| Facility | | $6.46 | $16.60 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $4.37 / $5.50
| Professional | | $2.69 | $4.37 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $7.24 / $29.51
| Facility | | $4.47 | $7.24 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $4.90 / $5.62
| Facility | | $4.90 | $4.90 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $10.23 / $23.44
| Facility | | $4.37 | $10.23 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $3.47 / $8.13
| Professional | | $2.57 | $3.47 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $79.43
| Facility | | $79.43 | $79.43 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $4.90 / $9.12
| Facility | | $3.63 | $4.90 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.27 / $6.31
| Professional | | $3.02 | $4.27 | $6.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.07 / $4.07
| Professional | | $3.63 | $4.07 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $4.90 / $14.13
| Facility | | $3.89 | $4.90 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.63 / $8.13
| Professional | | $2.75 | $3.63 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $2.95 / $4.90
| Facility | | $1.74 | $2.95 | $4.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.82 / $4.17
| Professional | | $2.04 | $2.82 | $4.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $1.91 / $4.90
| Professional | | $1.91 | $1.91 | $4.90 |