- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $26.30 / $251.19
| Facility | | $7.24 | $26.30 | $251.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.08 / $10.96
| Professional | | $5.25 | $7.08 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $9.77
| Professional | | $9.77 | $9.77 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $30.90 / $53.70
| Facility | | $11.75 | $30.90 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.50 / $9.77
| Professional | | $5.01 | $5.50 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $14.13 / $51.29
| Facility | | $8.91 | $14.13 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $9.77 / $9.77
| Facility | | $8.13 | $9.77 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $17.38 / $43.65
| Facility | | $7.94 | $17.38 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $5.25 / $15.14
| Professional | | $4.47 | $5.25 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $64.57 / $102.33
| Facility | | $64.57 | $64.57 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $9.77 / $123.03
| Facility | | $6.76 | $9.77 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.94 / $10.96
| Professional | | $5.01 | $7.94 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $8.13 / $8.13
| Professional | | $7.24 | $8.13 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $9.77 / $28.18
| Facility | | $7.08 | $9.77 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $5.25 / $14.79
| Professional | | $4.57 | $5.25 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $4.90 / $9.77
| Facility | | $3.47 | $4.90 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $4.17 / $6.76
| Professional | | $4.07 | $4.17 | $6.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $3.80 / $9.77
| Professional | | $3.80 | $3.80 | $9.77 |