- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.57 / $13.84 / $25.12
| Facility | | $6.57 | $13.84 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $6.57 / $9.02
| Professional | | $5.74 | $6.57 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.73 / $7.73 / $20.10
| Facility | | $7.73 | $7.73 | $20.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $4.63 / $17.46
| Professional | | $3.42 | $4.63 | $17.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.63 / $7.73 / $7.73
| Facility | | $4.63 | $7.73 | $7.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $7.73 / $7.73
| Professional | | $5.64 | $7.73 | $7.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.41 / $15.55 / $80.87
| Facility | | $5.41 | $15.55 | $80.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.86 / $8.77 / $49.59
| Professional | | $5.86 | $8.77 | $49.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $10.25 / $332.00
| Facility | | $5.00 | $10.25 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.53 / $4.63 / $14.15
| Professional | | $3.53 | $4.63 | $14.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.73 / $7.73 / $7.73
| Facility | | $7.73 | $7.73 | $7.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $7.73 / $10.27
| Professional | | $6.82 | $7.73 | $10.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.13 / $32.79 / $36.90
| Facility | | $20.13 | $32.79 | $36.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $5.15 / $5.15
| Professional | | $5.15 | $5.15 | $5.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.31 / $18.73 / $106.03
| Facility | | $9.31 | $18.73 | $106.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $10.64 / $15.92
| Professional | | $6.13 | $10.64 | $15.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.63 / $12.60
| Professional | | $3.25 | $4.63 | $12.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.89 / $8.89 / $28.50
| Facility | | $8.89 | $8.89 | $28.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $8.68 / $11.70
| Professional | | $6.82 | $8.68 | $11.70 |