- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.38 / $10.98 / $30.44
| Facility | | $4.38 | $10.98 | $30.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $3.97 / $7.06
| Professional | | $3.29 | $3.97 | $7.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.56 / $18.23 / $33.44
| Facility | | $6.56 | $18.23 | $33.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $5.00 / $7.82
| Professional | | $3.23 | $5.00 | $7.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.88 / $8.82 / $24.25
| Facility | | $5.88 | $8.82 | $24.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.98 / $5.88 / $5.88
| Facility | | $4.98 | $5.88 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.11 / $10.01 / $25.65
| Facility | | $4.11 | $10.01 | $25.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.23 / $8.77
| Professional | | $2.69 | $3.23 | $8.77 |
- 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
- $4.29 / $5.88 / $7.06
| Facility | | $4.29 | $5.88 | $7.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.88 / $5.88
| Professional | | $5.00 | $5.88 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.23 / $5.88 / $13.62
| Facility | | $4.23 | $5.88 | $13.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.32 / $5.88
| Professional | | $2.69 | $3.32 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.52 / $5.88 / $7.06
| Facility | | $2.52 | $5.88 | $7.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $2.52 / $4.20
| Professional | | $2.47 | $2.52 | $4.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.35 / $5.88
| Professional | | $2.29 | $2.35 | $5.88 |