- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $11.22 / $33.88
| Facility | | $4.68 | $11.22 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $20.42
| Professional | | $3.98 | $5.01 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $14.45
| Facility | | $5.62 | $5.62 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.02 / $13.18
| Professional | | $2.75 | $3.02 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $5.62 / $5.62
| Facility | | $3.31 | $5.62 | $5.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.62 / $5.62
| Professional | | $4.07 | $5.62 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $12.02 / $60.26
| Facility | | $4.27 | $12.02 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $7.76 / $38.02
| Professional | | $3.63 | $7.76 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $6.61 / $16.22
| Facility | | $3.98 | $6.61 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $3.31 / $10.72
| Professional | | $2.24 | $3.31 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.45 / $1.45 / $1.45
| Facility | | $1.45 | $1.45 | $1.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $5.25 / $7.41
| Professional | | $1.45 | $5.25 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $14.13 / $24.55
| Facility | | $5.75 | $14.13 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.09 / $10.00 / $50,118.72
| Facility | | $3.09 | $10.00 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $5.01 / $6.61
| Facility | | $3.31 | $5.01 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $3.31 / $8.51
| Professional | | $2.34 | $3.31 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.45 / $2.75 / $13.49
| Facility | | $1.45 | $2.75 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $5.62 / $20.42
| Professional | | $1.45 | $5.62 | $20.42 |