- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $23.85 / $69.70
| Facility | | $9.67 | $23.85 | $69.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.67 / $11.00 / $13.47
| Professional | | $7.67 | $11.00 | $13.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $7.67 / $8.89
| Professional | | $6.14 | $7.67 | $8.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.96 / $40.96 / $74.81
| Facility | | $14.96 | $40.96 | $74.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.78 / $12.53
| Professional | | $5.00 | $6.78 | $12.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.79 / $19.82 / $76.65
| Facility | | $12.79 | $19.82 | $76.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $12.79 / $19.94
| Professional | | $8.94 | $12.79 | $19.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.79 / $71.81 / $71.81
| Facility | | $12.79 | $71.81 | $71.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.94 / $28.09 / $64.77
| Facility | | $8.94 | $28.09 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.78 / $9.48 / $19.61
| Professional | | $6.78 | $9.48 | $19.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.00 / $61.32 / $100.00
| Facility | | $58.00 | $61.32 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $12.79 / $16.63
| Facility | | $10.23 | $12.79 | $16.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $12.79 / $16.67
| Professional | | $12.23 | $12.79 | $16.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $12.79 / $32.18
| Facility | | $10.23 | $12.79 | $32.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.78 / $9.94 / $18.32
| Professional | | $6.78 | $9.94 | $18.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $7.32 / $10.45
| Professional | | $5.37 | $7.32 | $10.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.99 / $6.32 / $12.79
| Professional | | $4.99 | $6.32 | $12.79 |