- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $17.30 / $53.32
| Facility | | $3.50 | $17.30 | $53.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $3.94 / $5.57
| Professional | | $2.78 | $3.94 | $5.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.23 / $2.78 / $3.22
| Professional | | $2.23 | $2.78 | $3.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.99 / $15.31 / $27.93
| Facility | | $5.99 | $15.31 | $27.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.46 / $4.63 / $5.50
| Professional | | $2.46 | $4.63 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.29 / $6.96 / $26.03
| Facility | | $4.29 | $6.96 | $26.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.18 / $7.42
| Professional | | $3.25 | $4.18 | $7.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.63 / $6.50 / $6.50
| Facility | | $4.63 | $6.50 | $6.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $10.11 / $23.80
| Facility | | $3.24 | $10.11 | $23.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $3.89 / $7.77
| Professional | | $2.58 | $3.89 | $7.77 |
- 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
- $3.71 / $4.63 / $6.03
| Facility | | $3.71 | $4.63 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $4.63 / $6.04
| Professional | | $4.28 | $4.63 | $6.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.71 / $4.63 / $11.55
| Facility | | $3.71 | $4.63 | $11.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $4.63 / $7.48
| Professional | | $2.58 | $4.63 | $7.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $2.67 / $4.20
| Professional | | $1.95 | $2.67 | $4.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.29 / $4.63
| Professional | | $1.81 | $2.29 | $4.63 |