- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.45 / $8.92 / $15.99
| Facility | | $4.45 | $8.92 | $15.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.87 / $4.01 / $5.61
| Professional | | $2.87 | $4.01 | $5.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.61 / $5.61 / $14.59
| Facility | | $5.61 | $5.61 | $14.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $3.24 / $11.00
| Professional | | $2.29 | $3.24 | $11.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.37 / $5.61 / $5.61
| Facility | | $3.37 | $5.61 | $5.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.61 / $5.61
| Professional | | $4.09 | $5.61 | $5.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.92 / $11.86 / $53.89
| Facility | | $3.92 | $11.86 | $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 / $7.29 / $332.00
| Facility | | $3.50 | $7.29 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $3.37 / $10.27
| Professional | | $2.56 | $3.37 | $10.27 |
- 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
- $1.74 / $5.08 / $6.49
| Professional | | $1.74 | $5.08 | $6.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.68 / $19.32 / $20.80
| Facility | | $16.68 | $19.32 | $20.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.77 / $13.63 / $70.65
| Facility | | $6.77 | $13.63 | $70.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.15 / $6.10 / $11.56
| Professional | | $4.15 | $6.10 | $11.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $3.37 / $8.42
| Professional | | $2.36 | $3.37 | $8.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.31 / $6.45 / $7.19
| Facility | | $5.31 | $6.45 | $7.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $4.97 / $6.74
| Professional | | $1.74 | $4.97 | $6.74 |