- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.08 / $7.74 / $13.37
| Facility | | $4.08 | $7.74 | $13.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $3.89 / $4.78
| Professional | | $3.19 | $3.89 | $4.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.69 / $4.69 / $12.19
| Facility | | $4.69 | $4.69 | $12.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.81 / $9.72
| Professional | | $2.04 | $2.81 | $9.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.81 / $4.69 / $4.69
| Facility | | $2.81 | $4.69 | $4.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $4.69 / $4.69
| Professional | | $3.42 | $4.69 | $4.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.27 / $9.19 / $44.95
| Facility | | $3.27 | $9.19 | $44.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.75 / $37.58
| Professional | | $3.25 | $4.75 | $37.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.00 / $6.92 / $332.00
| Facility | | $4.00 | $6.92 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $2.81 / $8.58
| Professional | | $1.88 | $2.81 | $8.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $4.69 / $5.71
| Professional | | $3.88 | $4.69 | $5.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.55 / $11.07 / $58.93
| Facility | | $5.55 | $11.07 | $58.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $5.37 / $9.50
| Professional | | $3.36 | $5.37 | $9.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $2.80 / $6.89
| Professional | | $1.97 | $2.80 | $6.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $5.39 / $15.86
| Facility | | $5.39 | $5.39 | $15.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $5.08 / $6.51
| Professional | | $3.88 | $5.08 | $6.51 |