- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.70 / $8.66 / $14.11
| Facility | | $4.70 | $8.66 | $14.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $4.21 / $6.06
| Professional | | $3.89 | $4.21 | $6.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.95 / $4.95 / $12.87
| Facility | | $4.95 | $4.95 | $12.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $2.99 / $12.35
| Professional | | $2.44 | $2.99 | $12.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.95 / $4.95 / $4.95
| Facility | | $4.95 | $4.95 | $4.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $4.95 / $4.95
| Professional | | $3.61 | $4.95 | $4.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.46 / $9.89 / $17.47
| Facility | | $3.46 | $9.89 | $17.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $2.60 / $23.86
| Professional | | $2.60 | $2.60 | $23.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.95 / $10.40 / $332.00
| Facility | | $4.95 | $10.40 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $2.92 / $9.26
| Professional | | $1.98 | $2.92 | $9.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.21 / $5.27 / $7.34
| Professional | | $4.21 | $5.27 | $7.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.97 / $10.78 / $66.34
| Facility | | $5.97 | $10.78 | $66.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $3.71 / $10.92
| Professional | | $2.60 | $3.71 | $10.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $2.97 / $7.67
| Professional | | $2.08 | $2.97 | $7.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.31 / $5.31 / $5.31
| Facility | | $5.31 | $5.31 | $5.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.43 / $5.31 / $6.67
| Professional | | $4.43 | $5.31 | $6.67 |