- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.73 / $1.90 / $18.67
| Facility | | $1.73 | $1.90 | $18.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $2.83 / $17.98
| Professional | | $1.77 | $2.83 | $17.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $4.86 / $6.50
| Professional | | $4.86 | $4.86 | $6.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.33 / $2.81 / $7.42
| Facility | | $2.33 | $2.81 | $7.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.24 / $6.05
| Professional | | $3.24 | $3.24 | $6.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.80 / $8.83 / $13.64
| Facility | | $6.80 | $8.83 | $13.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $13.89 / $24.29
| Professional | | $3.50 | $13.89 | $24.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.23 / $3.90 / $5.13
| Facility | | $3.23 | $3.90 | $5.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $3.32 / $4.40
| Professional | | $3.32 | $3.32 | $4.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $6.46 / $7.75
| Professional | | $5.17 | $6.46 | $7.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $4.51 / $10.01
| Professional | | $3.88 | $4.51 | $10.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.18 / $32.18 / $48.75
| Professional | | $32.18 | $32.18 | $48.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.53 / $19.53 / $19.53
| Professional | | $19.53 | $19.53 | $19.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.77 / $5.70 / $6.53
| Facility | | $1.77 | $5.70 | $6.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $3.90 / $5.90
| Professional | | $3.32 | $3.90 | $5.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.21 / $12.21 / $12.21
| Professional | | $12.21 | $12.21 | $12.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.54 / $3.05 / $5.41
| Professional | | $1.54 | $3.05 | $5.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $2.75 / $6.46
| Professional | | $2.48 | $2.75 | $6.46 |