- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.44 / $8.57 / $29.37
| Facility | | $3.44 | $8.57 | $29.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.74 / $3.42 / $5.47
| Professional | | $2.74 | $3.42 | $5.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.21 / $14.91 / $27.31
| Facility | | $6.21 | $14.91 | $27.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $5.00 / $6.06
| Professional | | $2.50 | $5.00 | $6.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $4.55 / $5.25
| Facility | | $4.55 | $4.55 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.18 / $10.00 / $22.49
| Facility | | $3.18 | $10.00 | $22.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.29 / $7.66
| Professional | | $2.42 | $3.29 | $7.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $4.55 / $5.93
| Facility | | $3.47 | $4.55 | $5.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $4.55 / $5.63
| Professional | | $4.28 | $4.55 | $5.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.64 / $4.55 / $11.33
| Facility | | $3.64 | $4.55 | $11.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.51 / $6.52
| Professional | | $2.42 | $3.51 | $6.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.60 / $3.13 / $3.44
| Facility | | $1.60 | $3.13 | $3.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.92 / $2.63 / $3.71
| Professional | | $1.92 | $2.63 | $3.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.25 / $4.55
| Professional | | $1.78 | $2.25 | $4.55 |