- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $19.95 / $33.88
| Facility | | $7.24 | $19.95 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $15.14
| Professional | | $3.98 | $6.03 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.54 / $37.15 / $5,011.87
| Facility | | $27.54 | $37.15 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $6.03 / $6.03
| Professional | | $6.03 | $6.03 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $12.02 / $26.92
| Facility | | $5.01 | $12.02 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $6.61 / $11.75
| Professional | | $3.24 | $6.61 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $8.13 / $11.22
| Professional | | $3.63 | $8.13 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $7.76 / $7.76
| Facility | | $7.76 | $7.76 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.94 / $13.80
| Professional | | $5.75 | $7.94 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $19.50 / $33.88
| Facility | | $7.24 | $19.50 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.92 / $22.91
| Professional | | $3.98 | $6.92 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $10.96 / $10.96
| Professional | | $10.96 | $10.96 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $5.75 / $7.76
| Facility | | $5.75 | $5.75 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $6.76 / $7.94
| Professional | | $5.75 | $6.76 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $7.76 / $9.33
| Facility | | $3.89 | $7.76 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.68 / $14.13
| Professional | | $3.24 | $4.68 | $14.13 |