- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.06 / $2.25 / $22.21
| Facility | | $2.06 | $2.25 | $22.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.36 / $22.21
| Professional | | $2.10 | $3.36 | $22.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $7.70 / $7.70
| Professional | | $7.70 | $7.70 | $7.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.77 / $3.34 / $8.83
| Facility | | $2.77 | $3.34 | $8.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.85 / $3.85 / $7.16
| Professional | | $3.85 | $3.85 | $7.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $10.52 / $16.25
| Facility | | $8.10 | $10.52 | $16.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.16 / $16.51 / $28.95
| Professional | | $4.16 | $16.51 | $28.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $4.62 / $6.11
| Facility | | $4.40 | $4.62 | $6.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $3.93 / $5.71
| Professional | | $3.93 | $3.93 | $5.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.16 / $7.70 / $9.24
| Professional | | $6.16 | $7.70 | $9.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.62 / $5.39 / $11.94
| Professional | | $4.62 | $5.39 | $11.94 |
- 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
- $38.35 / $38.35 / $57.75
| Professional | | $38.35 | $38.35 | $57.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.78 / $32.34 / $32.34
| Professional | | $15.78 | $32.34 | $32.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.11 / $6.80 / $7.79
| Facility | | $2.11 | $6.80 | $7.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $4.62 / $6.96
| Professional | | $3.93 | $4.62 | $6.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.52 / $14.52 / $14.52
| Professional | | $14.52 | $14.52 | $14.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.16 / $9.02 / $11.72
| Professional | | $6.16 | $9.02 | $11.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $3.26 / $7.31
| Professional | | $2.95 | $3.26 | $7.31 |