- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $24.55 / $47.86
| Facility | | $7.76 | $24.55 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $38.02
| Professional | | $3.98 | $5.01 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $3.09 / $4.27
| Professional | | $3.09 | $3.09 | $4.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $39.81 / $5,011.87
| Facility | | $30.20 | $39.81 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $4.79 / $5.62
| Professional | | $4.79 | $4.79 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $9.55 / $21.38
| Facility | | $4.07 | $9.55 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $6.92 / $9.77
| Professional | | $3.47 | $6.92 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $4.90 / $8.91
| Professional | | $2.88 | $4.90 | $8.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $6.17 / $6.17
| Facility | | $6.17 | $6.17 | $6.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $6.31 / $10.72
| Professional | | $5.89 | $6.31 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $15.49 / $58.88
| Facility | | $11.48 | $15.49 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $3.72 / $3.72
| Professional | | $3.72 | $3.72 | $3.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $24.55 / $52.48
| Facility | | $6.46 | $24.55 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.25 / $25.12
| Professional | | $3.98 | $5.25 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $6.61 / $7.08
| Facility | | $6.17 | $6.61 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $6.61 / $12.88
| Professional | | $6.17 | $6.61 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $6.17 / $7.41
| Facility | | $3.80 | $6.17 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $3.80 / $10.00
| Professional | | $2.57 | $3.80 | $10.00 |