- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $20.89 / $35.48
| Facility | | $11.75 | $20.89 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.91 / $17.38
| Professional | | $6.03 | $8.91 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $11.75 / $30.20
| Facility | | $11.75 | $11.75 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $5.13 / $22.39
| Professional | | $4.68 | $5.13 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $11.75 / $11.75
| Facility | | $7.08 | $11.75 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $11.75 / $11.75
| Professional | | $8.51 | $11.75 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $25.12 / $91.20
| Facility | | $8.91 | $25.12 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $14.45 / $56.23
| Professional | | $6.46 | $14.45 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $11.75 / $32.36
| Facility | | $5.01 | $11.75 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $8.13 / $22.91
| Professional | | $5.50 | $8.13 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $11.22 / $13.80
| Professional | | $7.76 | $11.22 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $21.88 / $50,118.72
| Facility | | $10.47 | $21.88 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $10.47 / $14.79
| Facility | | $5.75 | $10.47 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $6.76 / $17.78
| Professional | | $4.90 | $6.76 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $13.49 / $25.12
| Facility | | $7.24 | $13.49 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $11.75 / $30.90
| Professional | | $7.94 | $11.75 | $30.90 |