- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $9.63 / $17.88
| Facility | | $4.76 | $9.63 | $17.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $4.68 / $5.50
| Professional | | $4.08 | $4.68 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $5.50 / $14.30
| Facility | | $5.50 | $5.50 | $14.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.32 / $12.41
| Professional | | $2.63 | $3.32 | $12.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.30 / $5.50 / $5.50
| Facility | | $3.30 | $5.50 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.50 / $5.50
| Professional | | $4.01 | $5.50 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.85 / $11.31 / $56.92
| Facility | | $3.85 | $11.31 | $56.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.23 / $7.74 / $36.72
| Professional | | $4.23 | $7.74 | $36.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $7.18 / $332.00
| Facility | | $3.50 | $7.18 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.30 / $10.07
| Professional | | $2.50 | $3.30 | $10.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $5.50 / $5.50
| Facility | | $5.50 | $5.50 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.50 / $7.10
| Professional | | $4.84 | $5.50 | $7.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.79 / $13.79 / $104.80
| Facility | | $13.79 | $13.79 | $104.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.77 / $13.63 / $74.63
| Facility | | $6.77 | $13.63 | $74.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $6.48 / $11.33
| Professional | | $4.38 | $6.48 | $11.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $3.77 / $50.08
| Facility | | $3.58 | $3.77 | $50.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $3.30 / $9.26
| Professional | | $2.31 | $3.30 | $9.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.32 / $6.32 / $20.27
| Facility | | $6.32 | $6.32 | $20.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.95 / $7.31
| Professional | | $4.84 | $5.95 | $7.31 |