- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.41 / $11.08 / $33.86
| Facility | | $2.41 | $11.08 | $33.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $2.71 / $5.26
| Professional | | $2.57 | $2.71 | $5.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $1.81 / $2.09
| Professional | | $1.81 | $1.81 | $2.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $7.28 / $293.00
| Facility | | $3.31 | $7.28 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.49 / $2.37 / $7.02
| Professional | | $1.49 | $2.37 | $7.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.33 / $26.54 / $55.57
| Facility | | $7.33 | $26.54 | $55.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.87 / $2.67 / $14.50
| Professional | | $1.87 | $2.67 | $14.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.06 / $3.96 / $10.09
| Facility | | $2.06 | $3.96 | $10.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $3.51 / $5.42
| Professional | | $1.91 | $3.51 | $5.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.67 / $3.02 / $4.83
| Professional | | $2.67 | $3.02 | $4.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.49 / $22.49 / $22.49
| Professional | | $22.49 | $22.49 | $22.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.02 / $6.64
| Professional | | $2.42 | $3.02 | $6.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $1.81 / $1.81
| Professional | | $1.81 | $1.81 | $1.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $3.62 / $9.13
| Facility | | $2.50 | $3.62 | $9.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $3.02 / $6.04
| Professional | | $2.09 | $3.02 | $6.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $10.60 / $10.60
| Professional | | $10.60 | $10.60 | $10.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.02 / $4.23
| Professional | | $2.42 | $3.02 | $4.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $7.50 / $7.50
| Facility | | $7.50 | $7.50 | $7.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.27 / $1.79 / $5.82
| Professional | | $1.27 | $1.79 | $5.82 |