- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $19.95 / $97.72
| Facility | | $5.25 | $19.95 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $4.79 / $51.29
| Professional | | $3.98 | $4.79 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.24 / $3.63
| Professional | | $3.24 | $3.24 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $5.37 / $16.22
| Facility | | $5.37 | $5.37 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $2.63 / $5.37
| Professional | | $2.51 | $2.63 | $5.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $5.37 / $7.08
| Facility | | $4.07 | $5.37 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.37 / $6.46
| Professional | | $3.47 | $5.37 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $5.37 / $11.75
| Facility | | $3.89 | $5.37 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $11.75 / $13.80
| Professional | | $3.80 | $11.75 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $5.37 / $5.37
| Facility | | $2.45 | $5.37 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $3.47 / $5.89
| Professional | | $2.24 | $3.47 | $5.89 |