- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.24 / $17.59 / $28.30
| Facility | | $5.24 | $17.59 | $28.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $5.60 / $6.47
| Professional | | $5.24 | $5.60 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $6.47
| Professional | | $6.47 | $6.47 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.64 / $42.38 / $8,639.91
| Facility | | $32.64 | $42.38 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Professional | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.25 / $8.63 / $21.73
| Facility | | $4.25 | $8.63 | $21.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $7.43 / $11.42
| Professional | | $4.04 | $7.43 | $11.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $3.82 / $8.76
| Professional | | $2.98 | $3.82 | $8.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.39 / $14.74 / $75.40
| Facility | | $13.39 | $14.74 | $75.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $5.50 / $6.00
| Professional | | $3.88 | $5.50 | $6.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.24 / $17.59 / $28.57
| Facility | | $5.24 | $17.59 | $28.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.11 / $5.64 / $15.29
| Professional | | $5.11 | $5.64 | $15.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $9.83 / $21.73
| Facility | | $4.34 | $9.83 | $21.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $7.43 / $11.42
| Professional | | $4.04 | $7.43 | $11.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $6.47
| Facility | | $6.47 | $6.47 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $6.47 / $8.41
| Professional | | $5.69 | $6.47 | $8.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.42 / $5.42 / $10.85
| Facility | | $5.42 | $5.42 | $10.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $4.01 / $11.84
| Professional | | $2.72 | $4.01 | $11.84 |