- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.74 / $9.17 / $22.23
| Facility | | $3.74 | $9.17 | $22.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.41 / $3.97 / $6.16
| Professional | | $3.41 | $3.97 | $6.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.19 / $1.19 / $2.11
| Professional | | $1.19 | $1.19 | $2.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $4.40 / $11.44
| Facility | | $4.40 | $4.40 | $11.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $2.66 / $9.94
| Professional | | $2.11 | $2.66 | $9.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.64 / $4.40 / $4.40
| Facility | | $2.64 | $4.40 | $4.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $4.40 / $4.40
| Professional | | $3.21 | $4.40 | $4.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.07 / $9.30 / $44.95
| Facility | | $3.07 | $9.30 | $44.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $5.11 / $29.38
| Professional | | $3.25 | $5.11 | $29.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $6.16 / $332.00
| Facility | | $3.50 | $6.16 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.64 / $8.05
| Professional | | $2.00 | $2.64 | $8.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.74 / $3.74 / $3.74
| Facility | | $3.74 | $3.74 | $3.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.74 / $4.20 / $5.29
| Professional | | $3.74 | $4.20 | $5.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.77 / $2.77 / $2.77
| Professional | | $2.77 | $2.77 | $2.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.15 / $15.19 / $25.70
| Facility | | $10.15 | $15.19 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $11.07 / $58.93
| Facility | | $5.50 | $11.07 | $58.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.53 / $5.11 / $9.06
| Professional | | $3.53 | $5.11 | $9.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.96 / $3.96 / $4.40
| Facility | | $3.96 | $3.96 | $4.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $2.64 / $7.78
| Professional | | $1.85 | $2.64 | $7.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $16.23
| Facility | | $5.05 | $5.05 | $16.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.75 / $4.76 / $5.85
| Professional | | $3.75 | $4.76 | $5.85 |