- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $19.50 / $58.88
| Facility | | $8.32 | $19.50 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $14.13
| Professional | | $5.01 | $7.08 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $25.12
| Facility | | $9.77 | $9.77 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $19.05
| Professional | | $3.89 | $3.89 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $9.77 / $9.77
| Facility | | $5.89 | $9.77 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.77 / $9.77
| Professional | | $7.08 | $9.77 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $25.12 / $77.62
| Facility | | $7.41 | $25.12 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $11.75 / $47.86
| Professional | | $5.50 | $11.75 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $9.77 / $26.92
| Facility | | $3.98 | $9.77 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $6.76 / $19.05
| Professional | | $4.57 | $6.76 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $9.77
| Facility | | $9.77 | $9.77 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $9.77 / $11.75
| Professional | | $6.76 | $9.77 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $31.62 / $32.36
| Facility | | $4.57 | $31.62 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $18.20 / $50,118.72
| Facility | | $8.91 | $18.20 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $8.71 / $11.75
| Facility | | $4.90 | $8.71 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.89 / $14.45
| Professional | | $4.07 | $5.89 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $9.77 / $17.38
| Facility | | $8.32 | $9.77 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $9.77 / $22.91
| Professional | | $6.92 | $9.77 | $22.91 |