- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $12.88 / $18.20
| Professional | | $7.41 | $12.88 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $38.02
| Professional | | $17.38 | $17.38 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $14.45 / $19.50
| Facility | | $1.95 | $14.45 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $14.45 / $19.50
| Professional | | $1.95 | $14.45 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $14.45
| Facility | | $14.45 | $14.45 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $14.45 / $19.95
| Professional | | $12.30 | $14.45 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.70 / $53.70 / $53.70
| Facility | | $53.70 | $53.70 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $15.49 / $21.88
| Professional | | $12.02 | $15.49 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $17.78
| Facility | | $17.78 | $17.78 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $17.78 / $19.50
| Professional | | $15.85 | $17.78 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.07 / $9.77 / $16.98
| Facility | | $1.07 | $9.77 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $12.59 / $19.05
| Professional | | $7.76 | $12.59 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.85 / $17.78
| Facility | | $15.49 | $15.85 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $16.98 / $17.78
| Professional | | $15.85 | $16.98 | $17.78 |