- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $20.42 / $34.67
| Facility | | $7.41 | $20.42 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.03 / $14.13
| Professional | | $5.01 | $6.03 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $20.42 / $5,011.87
| Facility | | $15.49 | $20.42 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $6.17 / $6.17
| Professional | | $6.17 | $6.17 | $6.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $12.59 / $26.92
| Facility | | $5.37 | $12.59 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $9.12 / $13.80
| Professional | | $4.79 | $9.12 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $4.68 / $11.48
| Professional | | $3.72 | $4.68 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $7.94 / $7.94
| Facility | | $7.94 | $7.94 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $5.62 / $13.80
| Professional | | $3.02 | $5.62 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $4.79 / $4.79
| Professional | | $4.79 | $4.79 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $19.95 / $34.67
| Facility | | $7.41 | $19.95 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $28.18
| Professional | | $5.01 | $7.08 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $7.94 / $30.20
| Facility | | $5.89 | $7.94 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $7.94 / $30.20
| Professional | | $5.89 | $7.94 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $7.94 / $9.55
| Facility | | $5.37 | $7.94 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $4.79 / $11.22
| Professional | | $3.09 | $4.79 | $11.22 |