- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.25 / $7.99 / $30.06
| Facility | | $3.25 | $7.99 | $30.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.10 / $9.69 / $13.25
| Professional | | $6.10 | $9.69 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $7.43 / $22.66
| Professional | | $7.43 | $7.43 | $22.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.86 / $11.68 / $11.68
| Facility | | $10.86 | $11.68 | $11.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.68 / $11.68 / $11.68
| Professional | | $11.68 | $11.68 | $11.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.32 / $19.32 / $19.32
| Facility | | $19.32 | $19.32 | $19.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $8.42 / $8.42
| Professional | | $8.42 | $8.42 | $8.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.03 / $25.67 / $332.00
| Facility | | $14.03 | $25.67 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.03 / $20.34 / $30.45
| Professional | | $14.03 | $20.34 | $30.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.65 / $7.65 / $8.10
| Facility | | $7.65 | $7.65 | $8.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $8.10 / $8.61
| Professional | | $7.65 | $8.10 | $8.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.32 / $19.32 / $597.00
| Facility | | $19.32 | $19.32 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $8.42 / $24.00
| Professional | | $8.42 | $8.42 | $24.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $8.15 / $15.25
| Professional | | $4.66 | $8.15 | $15.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $8.10 / $10.02
| Facility | | $8.10 | $8.10 | $10.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $8.10 / $8.61
| Professional | | $7.65 | $8.10 | $8.61 |