- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.84 / $2.02 / $19.85
| Facility | | $1.84 | $2.02 | $19.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $3.00 / $19.85
| Professional | | $1.88 | $3.00 | $19.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $6.87 / $6.87
| Professional | | $6.87 | $6.87 | $6.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.48 / $2.99 / $7.91
| Facility | | $2.48 | $2.99 | $7.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $3.45 / $6.39
| Professional | | $3.45 | $3.45 | $6.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.25 / $9.42 / $14.55
| Facility | | $7.25 | $9.42 | $14.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $14.76 / $25.83
| Professional | | $3.72 | $14.76 | $25.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.94 / $4.13 / $5.46
| Facility | | $3.94 | $4.13 | $5.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $3.51 / $4.44
| Professional | | $3.51 | $3.51 | $4.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $6.87 / $8.24
| Professional | | $5.50 | $6.87 | $8.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $4.80 / $10.65
| Professional | | $4.12 | $4.80 | $10.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.21 / $34.21 / $51.53
| Professional | | $34.21 | $34.21 | $51.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.64 / $20.64 / $20.64
| Professional | | $20.64 | $20.64 | $20.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.89 / $6.08 / $6.98
| Facility | | $1.89 | $6.08 | $6.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $4.13 / $6.27
| Professional | | $3.51 | $4.13 | $6.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.98 / $12.98 / $12.98
| Professional | | $12.98 | $12.98 | $12.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $8.03 / $10.46
| Professional | | $5.50 | $8.03 | $10.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $2.92 / $6.76
| Professional | | $2.65 | $2.92 | $6.76 |