- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.09 / $18.87 / $33.83
| Facility | | $10.09 | $18.87 | $33.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $10.09 / $11.87
| Professional | | $4.57 | $10.09 | $11.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.87 / $11.87 / $30.86
| Facility | | $11.87 | $11.87 | $30.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $5.86 / $18.75
| Professional | | $3.34 | $5.86 | $18.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.12 / $11.87 / $11.87
| Facility | | $7.12 | $11.87 | $11.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $11.87 / $11.87
| Professional | | $8.67 | $11.87 | $11.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.28 / $25.09 / $66.06
| Facility | | $8.28 | $25.09 | $66.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.52 / $77.12
| Professional | | $8.89 | $13.52 | $77.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $15.43 / $332.00
| Facility | | $6.00 | $15.43 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $7.12 / $21.72
| Professional | | $4.75 | $7.12 | $21.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $10.15 / $12.56
| Professional | | $6.51 | $10.15 | $12.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $28.95 / $160.97
| Facility | | $13.73 | $28.95 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $12.57 / $30.00
| Professional | | $9.11 | $12.57 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.99 / $5.34 / $17.80
| Professional | | $4.99 | $5.34 | $17.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $13.65 / $46.63
| Facility | | $13.65 | $13.65 | $46.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $11.28 / $14.27
| Professional | | $6.51 | $11.28 | $14.27 |