- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $5.63 / $30.88
| Facility | | $2.04 | $5.63 | $30.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.13 / $3.35
| Professional | | $2.00 | $2.13 | $3.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.07 / $1.07
| Professional | | $1.07 | $1.07 | $1.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $2.37 / $6.16
| Facility | | $2.37 | $2.37 | $6.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.43 / $5.36
| Professional | | $1.17 | $1.43 | $5.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.42 / $2.37 / $2.37
| Facility | | $1.42 | $2.37 | $2.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.73 / $2.37 / $2.37
| Professional | | $1.73 | $2.37 | $2.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.65 / $4.96 / $23.95
| Facility | | $1.65 | $4.96 | $23.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $3.10 / $14.68
| Professional | | $1.82 | $3.10 | $14.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.50 / $3.32 / $332.00
| Facility | | $1.50 | $3.32 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.09 / $2.02 / $4.34
| Professional | | $1.09 | $2.02 | $4.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.02 / $2.02 / $2.02
| Facility | | $2.02 | $2.02 | $2.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.27 / $2.85
| Professional | | $2.02 | $2.27 | $2.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.86 / $5.94 / $22.76
| Facility | | $1.86 | $5.94 | $22.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.56 / $1.56 / $1.56
| Professional | | $1.56 | $1.56 | $1.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.96 / $5.97 / $31.40
| Facility | | $2.96 | $5.97 | $31.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $3.36 / $4.88
| Professional | | $1.88 | $3.36 | $4.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $1.66 / $3.43
| Professional | | $1.20 | $1.66 | $3.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.73 / $2.73 / $8.75
| Facility | | $2.73 | $2.73 | $8.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.58 / $3.14
| Professional | | $2.09 | $2.58 | $3.14 |