- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.53 / $26.04 / $58.65
| Facility | | $5.53 | $26.04 | $58.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.56 / $8.77
| Professional | | $4.09 | $5.56 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $4.38 / $4.38
| Professional | | $4.38 | $4.38 | $4.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.06 / $24.12 / $44.01
| Facility | | $9.06 | $24.12 | $44.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $5.00 / $6.51
| Professional | | $3.87 | $5.00 | $6.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.31 / $10.97 / $41.05
| Facility | | $7.31 | $10.97 | $41.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.31 / $7.31 / $8.43
| Facility | | $7.31 | $7.31 | $8.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.11 / $15.96 / $37.02
| Facility | | $5.11 | $15.96 | $37.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $5.42 / $12.58
| Professional | | $3.87 | $5.42 | $12.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.85 / $7.31 / $9.50
| Facility | | $5.85 | $7.31 | $9.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.03 / $7.31 / $9.06
| Professional | | $7.03 | $7.31 | $9.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.85 / $7.31 / $18.22
| Facility | | $5.85 | $7.31 | $18.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $5.63 / $10.56
| Professional | | $3.87 | $5.63 | $10.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.07 / $4.21 / $6.30
| Professional | | $3.07 | $4.21 | $6.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $3.61 / $7.31
| Professional | | $2.85 | $3.61 | $7.31 |