- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.23 / $7.50 / $36.79
| Facility | | $3.23 | $7.50 | $36.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.10 / $4.11
| Professional | | $2.54 | $3.10 | $4.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $1.82 / $1.82
| Professional | | $1.82 | $1.82 | $1.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $3.80 / $9.88
| Facility | | $3.80 | $3.80 | $9.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.27 / $7.75
| Professional | | $1.70 | $2.27 | $7.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.27 / $3.80 / $3.80
| Facility | | $2.27 | $3.80 | $3.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.77 / $3.80 / $3.80
| Professional | | $2.77 | $3.80 | $3.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.65 / $7.77 / $35.93
| Facility | | $2.65 | $7.77 | $35.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $4.01 / $20.20
| Professional | | $2.60 | $4.01 | $20.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $4.94 / $332.00
| Facility | | $2.00 | $4.94 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $3.23 / $6.95
| Professional | | $1.74 | $3.23 | $6.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.44 / $1.44 / $1.44
| Facility | | $1.44 | $1.44 | $1.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.44 / $3.30 / $4.57
| Professional | | $1.44 | $3.30 | $4.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.72 / $0.72 / $0.72
| Professional | | $0.72 | $0.72 | $0.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $8.11 / $15.30
| Facility | | $2.54 | $8.11 | $15.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.66 / $9.36 / $47.10
| Facility | | $4.66 | $9.36 | $47.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $4.05 / $7.53
| Professional | | $2.76 | $4.05 | $7.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $2.27 / $5.76
| Professional | | $1.60 | $2.27 | $5.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $4.37 / $12.68
| Facility | | $4.37 | $4.37 | $12.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $3.85 / $4.57
| Professional | | $2.81 | $3.85 | $4.57 |