- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.17 / $14.77 / $24.15
| Facility | | $7.17 | $14.77 | $24.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.27 / $7.34 / $8.44
| Professional | | $6.27 | $7.34 | $8.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $8.44 / $21.94
| Facility | | $8.44 | $8.44 | $21.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.03 / $5.09 / $19.05
| Professional | | $4.03 | $5.09 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $8.44 / $8.44
| Facility | | $5.05 | $8.44 | $8.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.16 / $8.44 / $8.44
| Professional | | $6.16 | $8.44 | $8.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.90 / $16.96 / $86.86
| Facility | | $5.90 | $16.96 | $86.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $7.47 / $53.26
| Professional | | $5.51 | $7.47 | $53.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $12.11 / $332.00
| Facility | | $7.00 | $12.11 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $5.05 / $15.45
| Professional | | $3.86 | $5.05 | $15.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $8.44 / $8.44
| Facility | | $8.44 | $8.44 | $8.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $8.44 / $10.89
| Professional | | $7.44 | $8.44 | $10.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.28 / $7.28 / $30.57
| Facility | | $7.28 | $7.28 | $30.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.16 / $20.43 / $113.88
| Facility | | $10.16 | $20.43 | $113.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $7.47 / $17.39
| Professional | | $4.50 | $7.47 | $17.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $5.05 / $13.08
| Professional | | $3.54 | $5.05 | $13.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.71 / $9.71 / $31.10
| Facility | | $9.71 | $9.71 | $31.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $9.48 / $11.21
| Professional | | $7.44 | $9.48 | $11.21 |