- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $16.98
| Facility | | $5.01 | $5.01 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $7.94
| Professional | | $3.98 | $6.03 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $16.98
| Facility | | $10.47 | $10.47 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $9.55 / $10.96
| Professional | | $9.55 | $9.55 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $31.62 / $50.12
| Facility | | $26.92 | $31.62 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $14.45 / $19.50
| Professional | | $5.25 | $14.45 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $7.41 / $10.72
| Facility | | $5.75 | $7.41 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.30 / $15.14
| Professional | | $9.33 | $12.30 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $8.32 / $20.42
| Facility | | $5.75 | $8.32 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $5.13 / $50.12
| Professional | | $4.27 | $5.13 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $33.11 / $70.79
| Professional | | $6.61 | $33.11 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $15.49 / $27.54
| Professional | | $10.47 | $15.49 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $79.43
| Facility | | $20.42 | $20.42 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $15.49 / $50.12
| Professional | | $5.25 | $15.49 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $10.47
| Professional | | $10.47 | $10.47 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $10.47
| Professional | | $10.47 | $10.47 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $5.13 / $8.13
| Professional | | $3.39 | $5.13 | $8.13 |