- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $13.07 / $26.07
| Facility | | $5.75 | $13.07 | $26.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $5.95 / $7.47
| Professional | | $4.96 | $5.95 | $7.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.47 / $7.47 / $19.42
| Facility | | $7.47 | $7.47 | $19.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $4.23 / $15.23
| Professional | | $3.20 | $4.23 | $15.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.48 / $7.47 / $7.47
| Facility | | $4.48 | $7.47 | $7.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.45 / $7.47 / $7.47
| Professional | | $5.45 | $7.47 | $7.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.22 / $14.84 / $68.90
| Facility | | $5.22 | $14.84 | $68.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.99 / $7.67 / $52.61
| Professional | | $4.99 | $7.67 | $52.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $10.46 / $332.00
| Facility | | $5.50 | $10.46 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.41 / $4.48 / $13.67
| Professional | | $3.41 | $4.48 | $13.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.47 / $7.47 / $7.47
| Facility | | $7.47 | $7.47 | $7.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $7.47 / $9.64
| Professional | | $6.22 | $7.47 | $9.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.96 / $17.88 / $90.33
| Facility | | $8.96 | $17.88 | $90.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.34 / $9.18 / $19.95
| Professional | | $5.34 | $9.18 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.14 / $4.48 / $11.21
| Professional | | $3.14 | $4.48 | $11.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.59 / $8.59 / $24.60
| Facility | | $8.59 | $8.59 | $24.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $7.89 / $9.81
| Professional | | $6.04 | $7.89 | $9.81 |