- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.02 / $24.72 / $68.58
| Facility | | $10.02 | $24.72 | $68.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $11.28 / $17.89
| Professional | | $7.95 | $11.28 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $6.36 / $6.36
| Professional | | $6.36 | $6.36 | $6.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.36 / $43.72 / $79.37
| Facility | | $16.36 | $43.72 | $79.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.02 / $11.79
| Professional | | $5.00 | $7.02 | $11.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $13.25 / $15.27
| Facility | | $13.25 | $13.25 | $15.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $28.93 / $61.04
| Facility | | $9.26 | $28.93 | $61.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $9.75 / $22.43
| Professional | | $7.02 | $9.75 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $70.00
| Facility | | $55.00 | $70.00 | $70.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $13.25 / $17.23
| Facility | | $10.60 | $13.25 | $17.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.53 / $13.25 / $16.42
| Professional | | $12.53 | $13.25 | $16.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $13.25 / $33.25
| Facility | | $10.60 | $13.25 | $33.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $10.19 / $19.14
| Professional | | $7.02 | $10.19 | $19.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.78 / $13.25 / $15.90
| Facility | | $7.78 | $13.25 | $15.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.64 / $13.25
| Professional | | $5.57 | $7.64 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $6.54 / $13.25
| Professional | | $5.17 | $6.54 | $13.25 |