- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $3.98 / $5.01
| Facility | | $3.55 | $3.98 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $6.03
| Professional | | $3.02 | $3.98 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $4.68 / $7.24
| Professional | | $4.27 | $4.68 | $7.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $7.08 / $19.95
| Facility | | $5.37 | $7.08 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $3.39 / $3.39
| Professional | | $3.39 | $3.39 | $3.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $7.24 / $79.43
| Facility | | $7.24 | $7.24 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $4.27 / $4.27
| Facility | | $4.07 | $4.27 | $4.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $3.63 / $4.27
| Professional | | $3.63 | $3.63 | $4.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $85.11 / $85.11
| Facility | | $79.43 | $85.11 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $53.70 / $53.70
| Professional | | $35.48 | $53.70 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $7.24 / $11.22
| Facility | | $1.95 | $7.24 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $7.24
| Professional | | $3.02 | $3.98 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $3.72 / $81.28
| Professional | | $3.72 | $3.72 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $6.17 / $10.72
| Facility | | $3.47 | $6.17 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $3.63 / $4.57
| Professional | | $3.63 | $3.63 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $2.75 / $3.47
| Facility | | $1.95 | $2.75 | $3.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.31 / $4.37
| Professional | | $2.51 | $3.31 | $4.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $7.24 / $7.24
| Professional | | $7.24 | $7.24 | $7.24 |