- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $4.61 / $5.05
| Facility | | $2.04 | $4.61 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $4.67 / $6.23
| Professional | | $3.01 | $4.67 | $6.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $4.53 / $7.12
| Professional | | $3.60 | $4.53 | $7.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $7.52 / $19.77
| Facility | | $4.55 | $7.52 | $19.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $3.80 / $3.80
| Professional | | $3.39 | $3.80 | $3.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $5.70 / $8.81
| Professional | | $4.40 | $5.70 | $8.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.12 / $246.71 / $246.71
| Facility | | $7.12 | $246.71 | $246.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.28 / $4.28 / $4.66
| Facility | | $4.28 | $4.28 | $4.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $3.64 / $4.53
| Professional | | $3.64 | $3.64 | $4.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.46 / $35.46 / $53.40
| Professional | | $35.46 | $35.46 | $53.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $5.23 / $7.12
| Facility | | $1.95 | $5.23 | $7.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $6.41 / $7.12
| Professional | | $4.36 | $6.41 | $7.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $2.80 / $2.80
| Professional | | $2.80 | $2.80 | $2.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $5.09 / $7.12
| Facility | | $1.95 | $5.09 | $7.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $3.64 / $5.92
| Professional | | $3.64 | $3.64 | $5.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.29 / $4.34
| Professional | | $2.52 | $3.29 | $4.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.57 / $3.57 / $7.12
| Professional | | $3.57 | $3.57 | $7.12 |