- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $21.81 / $57.58
| Facility | | $8.02 | $21.81 | $57.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $8.49 / $14.73
| Professional | | $8.02 | $8.49 | $14.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $4.25 / $4.25
| Professional | | $4.25 | $4.25 | $4.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.44 / $9.44 / $24.54
| Facility | | $9.44 | $9.44 | $24.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $5.66 / $21.31
| Professional | | $4.66 | $5.66 | $21.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.66 / $9.44 / $9.44
| Facility | | $5.66 | $9.44 | $9.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.89 / $9.44 / $9.44
| Professional | | $6.89 | $9.44 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.60 / $19.41 / $95.88
| Facility | | $6.60 | $19.41 | $95.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $10.74 / $45.50
| Professional | | $6.94 | $10.74 | $45.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $12.27 / $332.00
| Facility | | $2.00 | $12.27 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $5.62 / $17.28
| Professional | | $3.78 | $5.62 | $17.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.98 / $2.98 / $2.98
| Facility | | $2.98 | $2.98 | $2.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $8.97 / $11.35
| Professional | | $2.98 | $8.97 | $11.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $7.55 / $7.55
| Professional | | $7.55 | $7.55 | $7.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.33 / $17.48 / $32.54
| Facility | | $8.33 | $17.48 | $32.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $22.98 / $125.71
| Facility | | $11.43 | $22.98 | $125.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $10.59 / $19.45
| Professional | | $3.10 | $10.59 | $19.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.96 / $5.66 / $16.21
| Professional | | $3.96 | $5.66 | $16.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.86 / $10.86 / $25.60
| Facility | | $10.86 | $10.86 | $25.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.81 / $9.90 / $12.52
| Professional | | $3.81 | $9.90 | $12.52 |