- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $25.70 / $56.23
| Facility | | $7.76 | $25.70 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $16.22 / $32.36
| Professional | | $5.01 | $16.22 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.88 / $7.94
| Professional | | $2.14 | $2.88 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $11.75 / $25.12
| Facility | | $3.31 | $11.75 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $6.03 / $15.14
| Professional | | $2.82 | $6.03 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $40.74 / $74.13
| Facility | | $11.22 | $40.74 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.75 / $14.45
| Professional | | $3.98 | $5.75 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $8.71 / $20.89
| Facility | | $3.39 | $8.71 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.75 / $10.72
| Professional | | $3.16 | $5.75 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $5.01 / $7.94
| Professional | | $4.27 | $5.01 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $11.48
| Professional | | $3.98 | $5.01 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $79.43
| Facility | | $79.43 | $79.43 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $6.03 / $6.03
| Professional | | $3.02 | $6.03 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $6.03 / $14.79
| Facility | | $2.63 | $6.03 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.89 / $21.38
| Professional | | $3.16 | $5.89 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $17.78
| Professional | | $17.78 | $17.78 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $4.79 / $7.24
| Professional | | $3.98 | $4.79 | $7.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $3.02 / $5.01
| Facility | | $2.24 | $3.02 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.27 / $11.75
| Professional | | $3.02 | $4.27 | $11.75 |