- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.45 / $10.92 / $23.19
| Facility | | $4.45 | $10.92 | $23.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $4.65 / $5.78
| Professional | | $4.40 | $4.65 | $5.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.78 / $5.78 / $15.03
| Facility | | $5.78 | $5.78 | $15.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $3.25 / $11.87
| Professional | | $2.47 | $3.25 | $11.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $5.78 / $5.78
| Facility | | $3.47 | $5.78 | $5.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.22 / $5.78 / $5.78
| Professional | | $4.22 | $5.78 | $5.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.04 / $12.00 / $53.89
| Facility | | $4.04 | $12.00 | $53.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.90 / $5.84 / $34.89
| Professional | | $3.90 | $5.84 | $34.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $7.51 / $332.00
| Facility | | $3.50 | $7.51 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $3.47 / $10.58
| Professional | | $2.64 | $3.47 | $10.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.08 / $5.08 / $5.08
| Facility | | $5.08 | $5.08 | $5.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $5.37 / $6.80
| Professional | | $4.63 | $5.37 | $6.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.42 / $23.39 / $26.27
| Facility | | $6.42 | $23.39 | $26.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $3.86 / $3.86
| Professional | | $3.86 | $3.86 | $3.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.19 / $14.46 / $70.65
| Facility | | $7.19 | $14.46 | $70.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.15 / $7.11 / $11.62
| Professional | | $4.15 | $7.11 | $11.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $3.47 / $8.67
| Professional | | $2.43 | $3.47 | $8.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.65 / $6.65 / $18.89
| Facility | | $6.65 | $6.65 | $18.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $6.05 / $6.95
| Professional | | $4.63 | $6.05 | $6.95 |