- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.09 / $3.38 / $33.24
| Facility | | $3.09 | $3.38 | $33.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.38 / $5.20 / $33.24
| Professional | | $3.38 | $5.20 | $33.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.16 / $5.01 / $13.25
| Facility | | $4.16 | $5.01 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $5.78 / $10.72
| Professional | | $5.78 | $5.78 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.14 / $15.77 / $24.36
| Facility | | $12.14 | $15.77 | $24.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.23 / $24.73 / $43.35
| Professional | | $6.23 | $24.73 | $43.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.54 / $7.54 / $9.16
| Facility | | $7.54 | $7.54 | $9.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.41 / $6.41 / $13.50
| Professional | | $6.41 | $6.41 | $13.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $11.53 / $13.84
| Professional | | $9.22 | $11.53 | $13.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $8.07 / $17.87
| Professional | | $6.92 | $8.07 | $17.87 |
- 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
- $57.42 / $57.42 / $86.48
| Professional | | $57.42 | $57.42 | $86.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.63 / $23.63 / $23.63
| Professional | | $23.63 | $23.63 | $23.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.15 / $10.19 / $11.68
| Facility | | $3.15 | $10.19 | $11.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.41 / $6.41 / $10.97
| Professional | | $6.41 | $6.41 | $10.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.74 / $21.74 / $21.74
| Professional | | $21.74 | $21.74 | $21.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $13.49 / $17.54
| Professional | | $9.22 | $13.49 | $17.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.44 / $4.88 / $11.53
| Professional | | $4.44 | $4.88 | $11.53 |