- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.63 / $1.79 / $17.59
| Facility | | $1.63 | $1.79 | $17.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $2.75 / $17.59
| Professional | | $1.79 | $2.75 | $17.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $4.57 / $4.57
| Professional | | $4.57 | $4.57 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.20 / $2.65 / $6.99
| Facility | | $2.20 | $2.65 | $6.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.05 / $3.05 / $5.66
| Professional | | $3.05 | $3.05 | $5.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.43 / $8.35 / $12.90
| Facility | | $6.43 | $8.35 | $12.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $13.09 / $22.91
| Professional | | $3.30 | $13.09 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.49 / $3.66 / $5.24
| Facility | | $3.49 | $3.66 | $5.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $3.11 / $4.17
| Professional | | $3.11 | $3.11 | $4.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $6.09 / $6.70
| Professional | | $5.48 | $6.09 | $6.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $4.26 / $9.44
| Professional | | $3.65 | $4.26 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.33 / $30.33 / $45.68
| Professional | | $30.33 | $30.33 | $45.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.48 / $12.48 / $12.48
| Professional | | $12.48 | $12.48 | $12.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.67 / $5.39 / $6.18
| Facility | | $1.67 | $5.39 | $6.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $3.66 / $5.80
| Professional | | $3.11 | $3.66 | $5.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $11.50 / $11.50
| Professional | | $11.50 | $11.50 | $11.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.87 / $7.13 / $9.27
| Professional | | $4.87 | $7.13 | $9.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.67 / $2.35 / $2.78
| Facility | | $1.67 | $2.35 | $2.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $2.59 / $5.79
| Professional | | $2.35 | $2.59 | $5.79 |