- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.09 / $8.15 / $46.63
| Facility | | $4.09 | $8.15 | $46.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $3.66 / $4.65
| Professional | | $3.19 | $3.66 | $4.65 |
- 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 / $8.47 / $44.95
| Facility | | $3.01 | $8.47 | $44.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.75 / $29.38
| Professional | | $3.25 | $4.75 | $29.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $6.03 / $332.00
| Facility | | $3.00 | $6.03 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.72 / $2.57 / $7.89
| Professional | | $1.72 | $2.57 | $7.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.44 / $1.44 / $1.44
| Facility | | $1.44 | $1.44 | $1.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.44 / $4.09 / $5.18
| Professional | | $1.44 | $4.09 | $5.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.86 / $0.86 / $0.86
| Professional | | $0.86 | $0.86 | $0.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.89 / $2.89 / $2.89
| Facility | | $2.89 | $2.89 | $2.89 |
- 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 / $6.47
| Professional | | $1.81 | $2.59 | $6.47 |
- 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 / $5.71
| Professional | | $3.51 | $4.66 | $5.71 |