- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $10.06 / $43.75
| Facility | | $4.26 | $10.06 | $43.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $3.20 / $4.70
| Professional | | $2.62 | $3.20 | $4.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.14 / $1.14 / $1.14
| Professional | | $1.14 | $1.14 | $1.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $4.26 / $11.10
| Facility | | $4.26 | $4.26 | $11.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.73 / $2.56 / $8.11
| Professional | | $1.73 | $2.56 | $8.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.56 / $4.26 / $4.26
| Facility | | $2.56 | $4.26 | $4.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $4.26 / $4.26
| Professional | | $3.12 | $4.26 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.98 / $8.47 / $35.93
| Facility | | $2.98 | $8.47 | $35.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.71 / $4.86 / $20.58
| Professional | | $2.71 | $4.86 | $20.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $5.98 / $332.00
| Facility | | $3.00 | $5.98 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.96 / $3.45 / $7.81
| Professional | | $1.96 | $3.45 | $7.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.02 / $2.02 / $2.02
| Facility | | $2.02 | $2.02 | $2.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $3.41 / $4.80
| Professional | | $2.02 | $3.41 | $4.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.21 / $1.21 / $1.21
| Professional | | $1.21 | $1.21 | $1.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $4.74 / $14.74
| Facility | | $2.82 | $4.74 | $14.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.08 / $10.21 / $47.10
| Facility | | $5.08 | $10.21 | $47.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $4.96 / $7.92
| Professional | | $2.72 | $4.96 | $7.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.56 / $6.10
| Professional | | $2.10 | $2.56 | $6.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.91 / $4.91 / $13.06
| Facility | | $4.91 | $4.91 | $13.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $4.19 / $5.13
| Professional | | $2.60 | $4.19 | $5.13 |