- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.64 / $16.23 / $53.35
| Facility | | $2.64 | $16.23 | $53.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.64 / $5.36
| Professional | | $2.09 | $2.64 | $5.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $2.18 / $4.18
| Professional | | $1.48 | $2.18 | $4.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.83 / $10.61 / $19.35
| Facility | | $3.83 | $10.61 | $19.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $3.41 / $5.50
| Professional | | $1.91 | $3.41 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.21 / $5.39 / $15.14
| Facility | | $3.21 | $5.39 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $3.48 / $5.92
| Professional | | $2.44 | $3.48 | $5.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.45 / $3.45 / $3.48
| Facility | | $3.45 | $3.45 | $3.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.43 / $6.11 / $15.10
| Facility | | $2.43 | $6.11 | $15.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.89 / $5.16
| Professional | | $1.70 | $2.89 | $5.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.37 / $6.32
| Professional | | $3.02 | $4.37 | $6.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $3.48 / $4.57
| Facility | | $2.54 | $3.48 | $4.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.96 / $3.48 / $5.89
| Professional | | $2.96 | $3.48 | $5.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $4.44 / $15.25
| Facility | | $3.24 | $4.44 | $15.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.54 / $3.48 / $8.01
| Facility | | $2.54 | $3.48 | $8.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.89 / $3.69
| Professional | | $1.70 | $2.89 | $3.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.22 / $1.89 / $1.93
| Facility | | $1.22 | $1.89 | $1.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.09 / $3.48
| Professional | | $2.09 | $2.09 | $3.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.39 / $1.39 / $3.48
| Professional | | $1.39 | $1.39 | $3.48 |