- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.04 / $3.95 / $4.49
| Facility | | $3.04 | $3.95 | $4.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.04 / $4.01 / $5.34
| Professional | | $3.04 | $4.01 | $5.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $3.65 / $6.09
| Professional | | $3.43 | $3.65 | $6.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $6.74 / $17.04
| Facility | | $3.89 | $6.74 | $17.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.90 / $2.90 / $3.26
| Professional | | $2.90 | $2.90 | $3.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $4.87 / $7.53
| Professional | | $3.77 | $4.87 | $7.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.09 / $152.19 / $152.19
| Facility | | $6.09 | $152.19 | $152.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.66 / $3.66 / $4.07
| Facility | | $3.66 | $3.66 | $4.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $3.11 / $3.88
| Professional | | $3.11 | $3.11 | $3.88 |
- 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
- $30.33 / $30.33 / $45.68
| Professional | | $30.33 | $30.33 | $45.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.67 / $4.49 / $6.09
| Facility | | $1.67 | $4.49 | $6.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.73 / $5.48 / $6.09
| Professional | | $3.73 | $5.48 | $6.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.67 / $4.36 / $6.09
| Facility | | $1.67 | $4.36 | $6.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $3.11 / $5.07
| Professional | | $3.11 | $3.11 | $5.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.06 / $2.37 / $2.92
| Facility | | $2.06 | $2.37 | $2.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $2.81 / $3.71
| Professional | | $2.16 | $2.81 | $3.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.05 / $3.05 / $6.09
| Professional | | $3.05 | $3.05 | $6.09 |