- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.31 / $2.54 / $24.95
| Facility | | $2.31 | $2.54 | $24.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $4.03 / $24.95
| Professional | | $2.31 | $4.03 | $24.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.81 / $3.34 / $5.65
| Facility | | $2.81 | $3.34 | $5.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.84 / $3.84 / $8.03
| Professional | | $3.84 | $3.84 | $8.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.08 / $12.75 / $18.29
| Facility | | $9.08 | $12.75 | $18.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.05 / $21.86 / $32.49
| Professional | | $10.05 | $21.86 | $32.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $3.87 / $3.87
| Professional | | $3.52 | $3.87 | $3.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.64 / $9.50 / $11.66
| Professional | | $8.64 | $9.50 | $11.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $10.80 / $19.87
| Professional | | $6.00 | $10.80 | $19.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.54 / $80.00 / $85.00
| Facility | | $17.54 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.03 / $43.03 / $64.80
| Professional | | $43.03 | $43.03 | $64.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.71 / $17.71 / $17.71
| Professional | | $17.71 | $17.71 | $17.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.19 / $8.64 / $11.73
| Facility | | $6.19 | $8.64 | $11.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $3.87 / $7.81
| Professional | | $3.52 | $3.87 | $7.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $16.32 / $16.32
| Professional | | $16.32 | $16.32 | $16.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $3.90 / $11.25
| Professional | | $3.39 | $3.90 | $11.25 |