- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $10.23 / $46.77
| Facility | | $4.17 | $10.23 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $6.03
| Professional | | $3.02 | $3.98 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.31 / $3.39
| Professional | | $2.63 | $3.31 | $3.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $17.38 / $31.62
| Facility | | $5.50 | $17.38 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $5.01 / $5.50
| Professional | | $3.02 | $5.01 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $7.94 / $30.90
| Facility | | $4.17 | $7.94 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $5.50 / $5.50
| Facility | | $5.37 | $5.50 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $11.48 / $25.70
| Facility | | $5.01 | $11.48 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $3.89 / $9.33
| Professional | | $2.95 | $3.89 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.18 / $69.18 / $69.18
| Facility | | $69.18 | $69.18 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $5.50 / $23.44
| Facility | | $4.17 | $5.50 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.90 / $7.08
| Professional | | $3.02 | $4.90 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $4.57 / $33.11
| Professional | | $4.07 | $4.57 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $5.50 / $16.22
| Facility | | $4.37 | $5.50 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.98 / $9.33
| Professional | | $3.16 | $3.98 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $3.31 / $5.50
| Facility | | $2.00 | $3.31 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $3.24 / $4.68
| Professional | | $2.29 | $3.24 | $4.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.14 / $5.50
| Professional | | $2.14 | $2.14 | $5.50 |