- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.96 / $11.89 / $50.58
| Facility | | $2.96 | $11.89 | $50.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $3.50 / $7.00
| Professional | | $2.35 | $3.50 | $7.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $2.35 / $2.73
| Professional | | $1.88 | $2.35 | $2.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $12.87 / $23.60
| Facility | | $4.90 | $12.87 | $23.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $3.49 / $5.50
| Professional | | $2.16 | $3.49 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $5.99 / $24.07
| Facility | | $3.62 | $5.99 | $24.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $3.82 / $5.88
| Professional | | $2.94 | $3.82 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.92 / $5.49 / $5.49
| Facility | | $3.92 | $5.49 | $5.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.10 / $8.52 / $19.82
| Facility | | $3.10 | $8.52 | $19.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $4.33 / $8.18
| Professional | | $2.08 | $4.33 | $8.18 |
- 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
- $3.30 / $4.88 / $7.40
| Professional | | $3.30 | $4.88 | $7.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.14 / $3.92 / $5.96
| Facility | | $3.14 | $3.92 | $5.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.53 / $3.92 / $5.43
| Professional | | $3.53 | $3.92 | $5.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.00 / $32.84 / $42.47
| Facility | | $23.00 | $32.84 | $42.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.15 / $3.92 / $9.73
| Facility | | $3.15 | $3.92 | $9.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $3.92 / $5.62
| Professional | | $2.08 | $3.92 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.37 / $2.69 / $2.96
| Facility | | $1.37 | $2.69 | $2.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $3.20 / $3.92
| Professional | | $2.35 | $3.20 | $3.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $1.94 / $3.92
| Professional | | $1.94 | $1.94 | $3.92 |