- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $20.30 / $31.23
| Facility | | $6.05 | $20.30 | $31.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $6.05 / $7.17
| Professional | | $5.82 | $6.05 | $7.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.28 / $34.13 / $8,639.91
| Facility | | $26.28 | $34.13 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $5.83 / $5.83
| Professional | | $5.83 | $5.83 | $5.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.91 / $9.72 / $24.99
| Facility | | $4.91 | $9.72 | $24.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.19 / $8.56 / $11.85
| Professional | | $4.19 | $8.56 | $11.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.44 / $5.98 / $10.11
| Professional | | $3.44 | $5.98 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $10.33 / $243.63
| Facility | | $10.33 | $10.33 | $243.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $20.30 / $31.23
| Facility | | $6.05 | $20.30 | $31.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.38 / $6.15 / $30.85
| Professional | | $5.38 | $6.15 | $30.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $10.15 / $24.99
| Facility | | $5.01 | $10.15 | $24.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.19 / $8.56 / $11.85
| Professional | | $4.19 | $8.56 | $11.85 |
- 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
- $6.57 / $7.47 / $7.47
| Professional | | $6.57 | $7.47 | $7.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.92 / $3.92 / $3.92
| Facility | | $3.92 | $3.92 | $3.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $4.63 / $13.67
| Professional | | $3.20 | $4.63 | $13.67 |