- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.25 / $2.46 / $24.15
| Facility | | $2.25 | $2.46 | $24.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.46 / $3.78 / $24.15
| Professional | | $2.46 | $3.78 | $24.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $3.64 / $9.61
| Facility | | $3.02 | $3.64 | $9.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.20 / $7.79
| Professional | | $4.20 | $4.20 | $7.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.82 / $11.46 / $17.71
| Facility | | $8.82 | $11.46 | $17.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $17.96 / $31.49
| Professional | | $4.51 | $17.96 | $31.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.54 / $5.03 / $6.65
| Facility | | $4.54 | $5.03 | $6.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $4.28 / $5.33
| Professional | | $4.28 | $4.28 | $5.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $8.38 / $10.06
| Professional | | $6.70 | $8.38 | $10.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $5.87 / $12.99
| Professional | | $5.03 | $5.87 | $12.99 |
- 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
- $41.73 / $41.73 / $62.85
| Professional | | $41.73 | $41.73 | $62.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.15 / $25.15 / $25.15
| Professional | | $25.15 | $25.15 | $25.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.29 / $7.41 / $8.49
| Facility | | $2.29 | $7.41 | $8.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $5.03 / $7.64
| Professional | | $4.28 | $5.03 | $7.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.79 / $15.79 / $15.79
| Professional | | $15.79 | $15.79 | $15.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $9.80 / $12.74
| Professional | | $6.70 | $9.80 | $12.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $3.55 / $7.55
| Professional | | $3.23 | $3.55 | $7.55 |