- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.86 / $44.60 / $615.14
| Facility | | $1.86 | $44.60 | $615.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.60 / $46.65
| Professional | | $1.48 | $1.60 | $46.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.27 / $1.32 / $1.33
| Professional | | $1.27 | $1.32 | $1.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.32 / $1.62 / $2.13
| Facility | | $1.32 | $1.62 | $2.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.47 / $1.50 / $4.07
| Professional | | $1.47 | $1.50 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.43 / $3.43 / $3.43
| Facility | | $3.43 | $3.43 | $3.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.55 / $4.70
| Professional | | $1.40 | $1.55 | $4.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.39 / $1.39 / $1.48
| Facility | | $1.39 | $1.39 | $1.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.48 / $2.59
| Professional | | $1.48 | $1.48 | $2.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.58 / $2.00
| Professional | | $1.48 | $1.58 | $2.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.75 / $2.96
| Professional | | $1.33 | $1.75 | $2.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $100.00 / $100.00
| Facility | | $85.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.56 / $22.14 / $22.14
| Professional | | $8.56 | $22.14 | $22.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.03 / $3.03 / $3.03
| Professional | | $3.03 | $3.03 | $3.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.39 / $1.48 / $2.88
| Facility | | $1.39 | $1.48 | $2.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.48 / $2.67
| Professional | | $1.48 | $1.48 | $2.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $3.46 / $3.46
| Professional | | $3.46 | $3.46 | $3.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.18 / $1.62 / $2.69
| Professional | | $1.18 | $1.62 | $2.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.48 / $3.41
| Professional | | $1.48 | $1.48 | $3.41 |