- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.79 / $11.40 / $17.42
| Facility | | $5.79 | $11.40 | $17.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $5.73 / $6.93
| Professional | | $5.73 | $5.73 | $6.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.31 / $6.22 / $8,459.92
| Facility | | $5.31 | $6.22 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $5.95 / $5.95
| Professional | | $5.95 | $5.95 | $5.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.41 / $5.73 / $5.73
| Facility | | $5.41 | $5.73 | $5.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $5.73 / $5.95
| Professional | | $5.73 | $5.73 | $5.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $6.22 / $7.76
| Professional | | $5.95 | $6.22 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.79 / $8.94 / $17.42
| Facility | | $5.79 | $8.94 | $17.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $5.79 / $14.10
| Professional | | $5.73 | $5.79 | $14.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $12.90 / $27.40
| Professional | | $10.60 | $12.90 | $27.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.41 / $5.73 / $5.73
| Facility | | $5.41 | $5.73 | $5.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $5.73 / $6.22
| Professional | | $5.73 | $5.73 | $6.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.74 / $5.74 / $6.66
| Facility | | $5.74 | $5.74 | $6.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $5.74 / $6.66
| Professional | | $5.74 | $5.74 | $6.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.73 / $5.73 / $6.99
| Facility | | $5.73 | $5.73 | $6.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $6.07 / $7.91
| Professional | | $5.73 | $6.07 | $7.91 |