- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.58 / $9.94 / $40.59
| Facility | | $4.58 | $9.94 | $40.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.99 / $5.39 / $9.76
| Professional | | $3.99 | $5.39 | $9.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $5.39 / $14.01
| Facility | | $5.39 | $5.39 | $14.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.26 / $12.16
| Professional | | $2.54 | $3.26 | $12.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.23 / $5.39 / $5.39
| Facility | | $3.23 | $5.39 | $5.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $5.39 / $5.39
| Professional | | $3.93 | $5.39 | $5.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.76 / $10.60 / $54.35
| Facility | | $3.76 | $10.60 | $54.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.90 / $6.20 / $34.89
| Professional | | $3.90 | $6.20 | $34.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $8.80 / $332.00
| Facility | | $5.39 | $8.80 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.46 / $3.23 / $9.86
| Professional | | $2.46 | $3.23 | $9.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $5.39 / $5.39
| Facility | | $5.39 | $5.39 | $5.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $5.39 / $7.13
| Professional | | $4.73 | $5.39 | $7.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.35 / $18.63 / $26.40
| Facility | | $7.35 | $18.63 | $26.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.40 / $12.77 / $70.65
| Facility | | $6.40 | $12.77 | $70.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $7.39 / $12.00
| Professional | | $4.32 | $7.39 | $12.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.23 / $7.82
| Professional | | $2.25 | $3.23 | $7.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.20 / $6.20 / $19.77
| Facility | | $6.20 | $6.20 | $19.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $6.05 / $8.13
| Professional | | $4.73 | $6.05 | $8.13 |