- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $6.78 / $51.48
| Facility | | $1.82 | $6.78 | $51.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.37 / $1.39 / $1.84
| Professional | | $1.37 | $1.39 | $1.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.37 / $0.84 / $1.76
| Facility | | $0.37 | $0.84 | $1.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.43 / $0.43 / $0.43
| Professional | | $0.43 | $0.43 | $0.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.25 / $1.70 / $15.89
| Facility | | $1.25 | $1.70 | $15.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.02 / $1.02 / $1.02
| Facility | | $1.02 | $1.02 | $1.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.30 / $1.38 / $1.38
| Facility | | $1.30 | $1.38 | $1.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.38 / $1.38 / $1.38
| Professional | | $1.38 | $1.38 | $1.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $100.00 / $100.00
| Facility | | $85.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.32 / $7.35 / $36.22
| Facility | | $1.32 | $7.35 | $36.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.99 / $1.38 / $2.44
| Professional | | $0.99 | $1.38 | $2.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $451.31 / $609.83 / $7,183.59
| Facility | | $451.31 | $609.83 | $7,183.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.81 / $1.38 / $1.99
| Facility | | $0.81 | $1.38 | $1.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.22 / $1.38 / $2.34
| Professional | | $1.22 | $1.38 | $2.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.38 / $1.54 / $1.54
| Professional | | $1.38 | $1.54 | $1.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.35 / $1.86
| Professional | | $1.35 | $1.35 | $1.86 |