- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.95 / $21.35 / $58.86
| Facility | | $3.95 | $21.35 | $58.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.33 / $5.95
| Professional | | $2.45 | $3.33 | $5.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.53 / $2.10 / $4.38
| Professional | | $1.53 | $2.10 | $4.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $13.58 / $24.35
| Facility | | $4.80 | $13.58 | $24.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.41 / $4.00 / $5.50
| Professional | | $2.41 | $4.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.38 / $6.79 / $19.27
| Facility | | $4.38 | $6.79 | $19.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.38 / $4.38 / $4.38
| Facility | | $4.38 | $4.38 | $4.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.06 / $7.78 / $19.52
| Facility | | $3.06 | $7.78 | $19.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $3.56 / $7.48
| Professional | | $2.17 | $3.56 | $7.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.19 / $4.38 / $5.95
| Facility | | $3.19 | $4.38 | $5.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.03 / $4.38 / $4.82
| Professional | | $4.03 | $4.38 | $4.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.19 / $4.38 / $10.07
| Facility | | $3.19 | $4.38 | $10.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $3.60 / $5.45
| Professional | | $2.17 | $3.60 | $5.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.96 / $4.38 / $5.35
| Facility | | $1.96 | $4.38 | $5.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $2.66 / $4.38
| Professional | | $2.63 | $2.66 | $4.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $1.75 / $4.38
| Professional | | $1.75 | $1.75 | $4.38 |