- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $3.71 / $36.44
| Facility | | $3.39 | $3.71 | $36.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $5.52 / $36.44
| Professional | | $3.45 | $5.52 | $36.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $5.49 / $14.51
| Facility | | $4.55 | $5.49 | $14.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $6.33 / $11.75
| Professional | | $6.33 | $6.33 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.30 / $17.28 / $26.70
| Facility | | $13.30 | $17.28 | $26.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $27.10 / $47.47
| Professional | | $6.83 | $27.10 | $47.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $10.03
| Facility | | $7.59 | $7.59 | $10.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $6.45 / $8.75
| Professional | | $6.45 | $6.45 | $8.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $12.63 / $15.16
| Professional | | $10.10 | $12.63 | $15.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $8.84 / $19.57
| Professional | | $7.58 | $8.84 | $19.57 |
- 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
- $62.90 / $62.90 / $94.73
| Professional | | $62.90 | $62.90 | $94.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.89 / $25.89 / $25.89
| Professional | | $25.89 | $25.89 | $25.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.46 / $11.17 / $12.63
| Facility | | $3.46 | $11.17 | $12.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $7.59 / $11.41
| Professional | | $6.45 | $7.59 | $11.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.83 / $23.83 / $23.83
| Professional | | $23.83 | $23.83 | $23.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $14.78 / $19.22
| Professional | | $10.10 | $14.78 | $19.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.87 / $5.36 / $12.00
| Professional | | $4.87 | $5.36 | $12.00 |