- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $5.89 / $9.77
| Facility | | $2.57 | $5.89 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.69 / $4.17
| Professional | | $2.00 | $2.69 | $4.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $3.02 / $7.76
| Facility | | $3.02 | $3.02 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.62 / $7.08
| Professional | | $1.48 | $1.62 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $3.02 / $3.02
| Facility | | $1.82 | $3.02 | $3.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $3.02 / $3.02
| Professional | | $2.19 | $3.02 | $3.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $6.76 / $32.36
| Facility | | $2.29 | $6.76 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $4.17 / $18.20
| Professional | | $1.95 | $4.17 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $3.47 / $8.32
| Facility | | $2.00 | $3.47 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $2.09 / $5.89
| Professional | | $1.41 | $2.09 | $5.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $3.02 / $3.02
| Facility | | $3.02 | $3.02 | $3.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.02 / $4.07
| Professional | | $2.63 | $3.02 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $30.90
| Facility | | $7.59 | $7.59 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $5.75 / $50,118.72
| Facility | | $3.72 | $5.75 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $2.69 / $3.80
| Facility | | $1.82 | $2.69 | $3.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.26 / $1.82 / $4.57
| Professional | | $1.26 | $1.82 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $3.02 / $7.24
| Facility | | $2.57 | $3.02 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $3.16 / $10.00
| Professional | | $2.57 | $3.16 | $10.00 |