- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.33 / $2.54 / $25.05
| Facility | | $2.33 | $2.54 | $25.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.92 / $25.05
| Professional | | $2.54 | $3.92 | $25.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $3.77 / $9.96
| Facility | | $3.13 | $3.77 | $9.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $4.34 / $8.48
| Professional | | $4.34 | $4.34 | $8.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.15 / $11.89 / $18.37
| Facility | | $9.15 | $11.89 | $18.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.69 / $18.63 / $32.61
| Professional | | $4.69 | $18.63 | $32.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.59 / $5.59 / $6.90
| Facility | | $5.59 | $5.59 | $6.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $4.75 / $6.14
| Professional | | $4.75 | $4.75 | $6.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $8.67 / $10.40
| Professional | | $6.94 | $8.67 | $10.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.20 / $6.07 / $13.44
| Professional | | $5.20 | $6.07 | $13.44 |
- 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
- $43.18 / $43.18 / $65.03
| Professional | | $43.18 | $43.18 | $65.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.77 / $17.77 / $17.77
| Professional | | $17.77 | $17.77 | $17.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.38 / $7.68 / $8.80
| Facility | | $2.38 | $7.68 | $8.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $5.59 / $7.92
| Professional | | $4.75 | $5.59 | $7.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.38 / $16.38 / $16.38
| Professional | | $16.38 | $16.38 | $16.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $10.16 / $13.21
| Professional | | $6.94 | $10.16 | $13.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $3.68 / $8.25
| Professional | | $3.30 | $3.68 | $8.25 |