- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.68 / $27.79 / $80.70
| Facility | | $3.68 | $27.79 | $80.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $3.73 / $4.59
| Professional | | $2.58 | $3.73 | $4.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $3.07 / $3.19
| Professional | | $2.21 | $3.07 | $3.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.70 / $15.18 / $27.51
| Facility | | $5.70 | $15.18 | $27.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $4.51 / $5.50
| Professional | | $2.44 | $4.51 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.59 / $6.90 / $30.02
| Facility | | $4.59 | $6.90 | $30.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $4.51 / $6.90
| Professional | | $3.45 | $4.51 | $6.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.66 / $3.66 / $4.59
| Facility | | $3.66 | $3.66 | $4.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.21 / $10.11 / $23.80
| Facility | | $3.21 | $10.11 | $23.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $3.85 / $7.66
| Professional | | $2.44 | $3.85 | $7.66 |
- 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
- $4.07 / $6.61 / $7.52
| Professional | | $4.07 | $6.61 | $7.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.68 / $4.59 / $7.06
| Facility | | $3.68 | $4.59 | $7.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $4.59 / $5.99
| Professional | | $4.13 | $4.59 | $5.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.69 / $4.59 / $11.45
| Facility | | $3.69 | $4.59 | $11.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $4.38 / $6.58
| Professional | | $2.44 | $4.38 | $6.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.61 / $3.40 / $5.75
| Facility | | $1.61 | $3.40 | $5.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $2.63 / $3.81
| Professional | | $1.93 | $2.63 | $3.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $2.27 / $4.59
| Professional | | $2.27 | $2.27 | $4.59 |