- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.34 / $1.47 / $14.47
| Facility | | $1.34 | $1.47 | $14.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.37 / $2.19 / $14.01
| Professional | | $1.37 | $2.19 | $14.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $5.01
| Professional | | $5.01 | $5.01 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.80 / $2.17 / $5.74
| Facility | | $1.80 | $2.17 | $5.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $2.50 / $4.66
| Professional | | $2.50 | $2.50 | $4.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.29 / $6.87 / $10.61
| Facility | | $5.29 | $6.87 | $10.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.71 / $10.77 / $18.82
| Professional | | $2.71 | $10.77 | $18.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.01 / $3.01 / $3.99
| Facility | | $3.01 | $3.01 | $3.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $2.56 / $3.35
| Professional | | $2.56 | $2.56 | $3.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.01 / $6.01
| Professional | | $4.01 | $5.01 | $6.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $3.51 / $7.77
| Professional | | $3.01 | $3.51 | $7.77 |
- 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
- $24.95 / $24.95 / $37.58
| Professional | | $24.95 | $24.95 | $37.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.04 / $15.04 / $15.04
| Professional | | $15.04 | $15.04 | $15.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.37 / $4.44 / $5.09
| Facility | | $1.37 | $4.44 | $5.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $3.01 / $4.57
| Professional | | $2.56 | $3.01 | $4.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.46 / $9.46 / $9.46
| Professional | | $9.46 | $9.46 | $9.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.87 / $7.63
| Professional | | $4.01 | $5.87 | $7.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $2.12 / $5.05
| Professional | | $1.93 | $2.12 | $5.05 |