- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.12 / $36.79 / $74.81
| Facility | | $4.12 | $36.79 | $74.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.56 / $2.13 / $3.83
| Professional | | $1.56 | $2.13 | $3.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.19 / $1.64 / $1.64
| Professional | | $1.19 | $1.64 | $1.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $5.78 / $12.77
| Facility | | $1.82 | $5.78 | $12.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $2.56 / $5.50
| Professional | | $1.30 | $2.56 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.13 / $3.50 / $32.39
| Facility | | $2.13 | $3.50 | $32.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.43 / $4.03
| Professional | | $1.78 | $2.43 | $4.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $2.37 / $2.37
| Facility | | $2.37 | $2.37 | $2.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.90 / $5.21 / $11.90
| Facility | | $1.90 | $5.21 | $11.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $2.48 / $5.11
| Professional | | $1.26 | $2.48 | $5.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $3.31 / $3.75
| Professional | | $2.02 | $3.31 | $3.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.90 / $2.37 / $41.16
| Facility | | $1.90 | $2.37 | $41.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $2.37 / $4.50
| Professional | | $2.13 | $2.37 | $4.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.93 / $2.37 / $6.41
| Facility | | $1.93 | $2.37 | $6.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $2.37 / $3.39
| Professional | | $1.26 | $2.37 | $3.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.94 / $2.37
| Professional | | $1.42 | $1.94 | $2.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.17 / $2.37
| Professional | | $1.17 | $1.17 | $2.37 |