- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $13.49 / $13.49
| Facility | | $5.01 | $13.49 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $5.01
| Professional | | $3.02 | $3.98 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $13.18 / $13.49
| Facility | | $10.72 | $13.18 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.45 / $17.78
| Professional | | $2.45 | $2.45 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $15.85 / $25.12
| Facility | | $13.49 | $15.85 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $6.61 / $15.49
| Professional | | $2.63 | $6.61 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $10.72 / $35.48
| Facility | | $2.63 | $10.72 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $4.90 / $10.72
| Facility | | $2.63 | $4.90 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $3.63 / $10.72
| Professional | | $2.57 | $3.63 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $4.90 / $64.57
| Professional | | $2.45 | $4.90 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $11.75 / $17.38
| Professional | | $5.75 | $11.75 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $89.13
| Facility | | $10.00 | $10.00 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $2.57 / $2.63
| Professional | | $2.57 | $2.57 | $2.63 |
- 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
- $14.45 / $26.92 / $34.67
| Professional | | $14.45 | $26.92 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $4.37 / $5.89
| Facility | | $3.72 | $4.37 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.63 / $10.96
| Professional | | $2.45 | $3.63 | $10.96 |