- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.18 / $22.97 / $53.35
| Facility | | $7.18 | $22.97 | $53.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $5.59 / $9.34
| Professional | | $4.36 | $5.59 | $9.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.73 / $3.73 / $4.67
| Professional | | $3.73 | $3.73 | $4.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.56 / $23.81 / $43.96
| Facility | | $8.56 | $23.81 | $43.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $5.00 / $7.47
| Professional | | $4.12 | $5.00 | $7.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.39 / $11.67 / $17.51
| Facility | | $7.39 | $11.67 | $17.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.62 / $7.62 / $7.78
| Facility | | $7.62 | $7.62 | $7.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.44 / $12.85 / $34.47
| Facility | | $5.44 | $12.85 | $34.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $4.05 / $11.88
| Professional | | $3.47 | $4.05 | $11.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.67 / $7.78 / $9.46
| Facility | | $5.67 | $7.78 | $9.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $7.78 / $7.78
| Professional | | $6.75 | $7.78 | $7.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.60 / $7.78 / $17.82
| Facility | | $5.60 | $7.78 | $17.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $4.05 / $7.78
| Professional | | $3.33 | $4.05 | $7.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.96 / $3.27 / $7.23
| Professional | | $2.96 | $3.27 | $7.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $3.11 / $7.78
| Professional | | $3.11 | $3.11 | $7.78 |