- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.95 / $9.60 / $16.59
| Facility | | $4.95 | $9.60 | $16.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $3.87 / $5.82
| Professional | | $3.18 | $3.87 | $5.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.82 / $5.82 / $15.13
| Facility | | $5.82 | $5.82 | $15.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $3.00 / $10.24
| Professional | | $2.09 | $3.00 | $10.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.49 / $5.82 / $5.82
| Facility | | $3.49 | $5.82 | $5.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $5.82 / $5.82
| Professional | | $4.25 | $5.82 | $5.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $12.00 / $47.90
| Facility | | $4.07 | $12.00 | $47.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.29 / $5.84 / $33.07
| Professional | | $3.29 | $5.84 | $33.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $7.57 / $332.00
| Facility | | $3.50 | $7.57 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $3.49 / $10.65
| Professional | | $2.66 | $3.49 | $10.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.92 / $4.92 / $4.92
| Facility | | $4.92 | $4.92 | $4.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.07 / $6.54
| Professional | | $3.98 | $5.07 | $6.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.19 / $14.46 / $62.80
| Facility | | $7.19 | $14.46 | $62.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $5.56 / $9.50
| Professional | | $3.36 | $5.56 | $9.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $3.49 / $8.83
| Professional | | $2.44 | $3.49 | $8.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.69 / $6.69 / $15.78
| Facility | | $6.69 | $6.69 | $15.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $5.53 / $7.00
| Professional | | $3.86 | $5.53 | $7.00 |