- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $24.55 / $60.26
| Facility | | $8.51 | $24.55 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $8.91 / $15.85
| Professional | | $7.59 | $8.91 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $7.94 / $13.49
| Professional | | $7.59 | $7.94 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $13.49 / $16.98
| Professional | | $9.12 | $13.49 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $9.12 / $10.23
| Facility | | $9.12 | $9.12 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $15.85
| Facility | | $15.85 | $15.85 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $11.75 / $21.88
| Professional | | $8.13 | $11.75 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $70.79
| Facility | | $70.79 | $70.79 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.57 / $77.62 / $77.62
| Professional | | $64.57 | $77.62 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $12.88 / $24.55
| Facility | | $8.51 | $12.88 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.00 / $20.42
| Professional | | $7.94 | $10.00 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $33.11 / $33.11
| Professional | | $32.36 | $33.11 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $16.98 / $25.70
| Professional | | $10.00 | $16.98 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $11.48 / $19.50
| Facility | | $8.51 | $11.48 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $12.02 / $24.55
| Professional | | $8.13 | $12.02 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $10.72 / $18.20
| Professional | | $8.13 | $10.72 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $10.23 / $12.30
| Professional | | $9.77 | $10.23 | $12.30 |