- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.55 / $15.03 / $31.61
| Facility | | $5.55 | $15.03 | $31.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $5.55 / $6.53
| Professional | | $4.63 | $5.55 | $6.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $3.11 / $3.11
| Professional | | $3.11 | $3.11 | $3.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.53 / $6.53 / $16.98
| Facility | | $6.53 | $6.53 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.97 / $3.91 / $14.73
| Professional | | $2.97 | $3.91 | $14.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.92 / $6.53 / $6.53
| Facility | | $3.92 | $6.53 | $6.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $6.53 / $6.53
| Professional | | $4.76 | $6.53 | $6.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $13.43 / $65.86
| Facility | | $4.55 | $13.43 | $65.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $7.31 / $75.15
| Professional | | $4.76 | $7.31 | $75.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $9.80 / $332.00
| Facility | | $6.00 | $9.80 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $3.92 / $11.95
| Professional | | $2.61 | $3.92 | $11.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $6.27 / $7.85
| Professional | | $5.33 | $6.27 | $7.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.00 / $14.00 / $22.76
| Facility | | $14.00 | $14.00 | $22.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $16.18 / $86.35
| Facility | | $8.03 | $16.18 | $86.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $8.56 / $20.00
| Professional | | $5.14 | $8.56 | $20.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.74 / $3.92 / $10.25
| Professional | | $2.74 | $3.92 | $10.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $7.51 / $24.09
| Facility | | $7.51 | $7.51 | $24.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $6.85 / $8.67
| Professional | | $5.33 | $6.85 | $8.67 |