- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.35 / $7.05 / $15.20
| Facility | | $3.35 | $7.05 | $15.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.93 / $3.43 / $6.86
| Professional | | $2.93 | $3.43 | $6.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $1.88 / $1.88
| Professional | | $1.88 | $1.88 | $1.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.94 / $3.94 / $10.24
| Facility | | $3.94 | $3.94 | $10.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $2.38 / $8.90
| Professional | | $1.88 | $2.38 | $8.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.36 / $3.94 / $3.94
| Facility | | $2.36 | $3.94 | $3.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $3.94 / $3.94
| Professional | | $2.88 | $3.94 | $3.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $7.77 / $41.91
| Facility | | $2.75 | $7.77 | $41.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.03 / $3.73 / $27.53
| Professional | | $3.03 | $3.73 | $27.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $5.12 / $332.00
| Facility | | $2.00 | $5.12 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $2.36 / $7.21
| Professional | | $1.58 | $2.36 | $7.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.35 / $3.94 / $5.23
| Professional | | $3.35 | $3.94 | $5.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.19 / $3.19 / $3.19
| Facility | | $3.19 | $3.19 | $3.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $9.36 / $54.95
| Facility | | $4.68 | $9.36 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $5.21 / $10.00
| Professional | | $3.17 | $5.21 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.65 / $2.36 / $5.97
| Professional | | $1.65 | $2.36 | $5.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.53 / $4.53 / $14.52
| Facility | | $4.53 | $4.53 | $14.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.41 / $10.79
| Professional | | $3.47 | $4.41 | $10.79 |