- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.73 / $7.33 / $12.99
| Facility | | $3.73 | $7.33 | $12.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $3.66 / $5.32
| Professional | | $3.19 | $3.66 | $5.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $4.30 / $11.21
| Facility | | $4.30 | $4.30 | $11.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.13 / $2.60 / $9.72
| Professional | | $2.13 | $2.60 | $9.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.59 / $4.30 / $4.30
| Facility | | $2.59 | $4.30 | $4.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $4.30 / $4.30
| Professional | | $3.15 | $4.30 | $4.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.01 / $9.10 / $46.19
| Facility | | $3.01 | $9.10 | $46.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.75 / $38.57
| Professional | | $3.25 | $4.75 | $38.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $6.47 / $332.00
| Facility | | $4.00 | $6.47 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $2.57 / $7.89
| Professional | | $1.97 | $2.57 | $7.89 |
- 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 / $4.09 / $5.71
| Professional | | $2.02 | $4.09 | $5.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.71 / $4.66 / $5.88
| Facility | | $3.71 | $4.66 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.11 / $10.21 / $58.93
| Facility | | $5.11 | $10.21 | $58.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $5.91 / $8.88
| Professional | | $3.36 | $5.91 | $8.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.59 / $6.53
| Professional | | $1.81 | $2.59 | $6.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.96 / $4.96 / $15.86
| Facility | | $4.96 | $4.96 | $15.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $4.66 / $6.26
| Professional | | $3.51 | $4.66 | $6.26 |