- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.20 / $9.32 / $23.10
| Facility | | $4.20 | $9.32 | $23.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.84 / $4.40 / $5.18
| Professional | | $3.84 | $4.40 | $5.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $5.18 / $13.47
| Facility | | $5.18 | $5.18 | $13.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $3.13 / $11.68
| Professional | | $2.47 | $3.13 | $11.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.11 / $5.18 / $5.18
| Facility | | $3.11 | $5.18 | $5.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $5.18 / $5.18
| Professional | | $3.78 | $5.18 | $5.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $10.78 / $53.89
| Facility | | $3.62 | $10.78 | $53.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.90 / $5.78 / $34.89
| Professional | | $3.90 | $5.78 | $34.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.50 / $7.77 / $332.00
| Facility | | $4.50 | $7.77 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.06 / $3.11 / $9.48
| Professional | | $2.06 | $3.11 | $9.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $5.18 / $6.38
| Professional | | $4.40 | $5.18 | $6.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.67 / $17.88 / $225.33
| Facility | | $12.67 | $17.88 | $225.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $3.45 / $3.45
| Professional | | $3.45 | $3.45 | $3.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.35 / $12.77 / $70.65
| Facility | | $6.35 | $12.77 | $70.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.15 / $6.44 / $10.67
| Professional | | $4.15 | $6.44 | $10.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $3.11 / $8.13
| Professional | | $2.18 | $3.11 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.96 / $5.96 / $19.05
| Facility | | $5.96 | $5.96 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $5.78 / $6.87
| Professional | | $4.55 | $5.78 | $6.87 |