- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.66 / $8.92 / $13.71
| Facility | | $2.66 | $8.92 | $13.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.66 / $3.15
| Professional | | $2.25 | $2.66 | $3.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $16.41 / $8,639.91
| Facility | | $12.64 | $16.41 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $2.56 / $2.56
| Professional | | $2.56 | $2.56 | $2.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.16 / $4.26 / $10.87
| Facility | | $2.16 | $4.26 | $10.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $3.72 / $4.65
| Professional | | $1.55 | $3.72 | $4.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.51 / $1.94 / $4.44
| Professional | | $1.51 | $1.94 | $4.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.69 / $18.69 / $18.69
| Facility | | $18.69 | $18.69 | $18.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.79 / $8.92 / $13.71
| Facility | | $2.79 | $8.92 | $13.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.66 / $13.55
| Professional | | $2.25 | $2.66 | $13.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.19 / $4.36 / $10.87
| Facility | | $2.19 | $4.36 | $10.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $3.72 / $4.65
| Professional | | $1.55 | $3.72 | $4.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.28 / $3.28 / $3.28
| Facility | | $3.28 | $3.28 | $3.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $3.28 / $3.56
| Professional | | $2.89 | $3.28 | $3.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $2.00 / $5.71
| Professional | | $1.48 | $2.00 | $5.71 |