- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $2.17 / $21.31
| Facility | | $1.98 | $2.17 | $21.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $3.44 / $21.31
| Professional | | $1.98 | $3.44 | $21.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $2.85 / $4.83
| Facility | | $2.40 | $2.85 | $4.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.28 / $6.85
| Professional | | $2.50 | $3.28 | $6.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.75 / $10.88 / $15.59
| Facility | | $7.75 | $10.88 | $15.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $18.67 / $27.72
| Professional | | $8.58 | $18.67 | $27.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $3.77 / $3.77
| Professional | | $3.77 | $3.77 | $3.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $8.11 / $9.94
| Professional | | $7.37 | $8.11 | $9.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $9.21 / $16.95
| Professional | | $4.00 | $9.21 | $16.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.96 / $80.00 / $85.00
| Facility | | $14.96 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.70 / $36.70 / $285.45
| Professional | | $36.70 | $36.70 | $285.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.29 / $7.37 / $10.10
| Facility | | $5.29 | $7.37 | $10.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $3.77 / $7.88
| Professional | | $3.77 | $3.77 | $7.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.93 / $13.93 / $13.93
| Professional | | $13.93 | $13.93 | $13.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.81 / $0.89 / $5.90
| Professional | | $0.81 | $0.89 | $5.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $3.33 / $10.36
| Professional | | $2.95 | $3.33 | $10.36 |