- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $27.86 / $86.70
| Facility | | $7.94 | $27.86 | $86.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $8.51 / $12.60
| Professional | | $6.30 | $8.51 | $12.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $6.30 / $10.50
| Professional | | $5.04 | $6.30 | $10.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.78 / $33.39 / $57.89
| Facility | | $11.78 | $33.39 | $57.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.57 / $7.04
| Professional | | $5.00 | $5.57 | $7.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.98 / $16.23 / $57.16
| Facility | | $9.98 | $16.23 | $57.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $10.70 / $16.80
| Professional | | $8.40 | $10.70 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.39 / $10.39 / $10.50
| Facility | | $10.39 | $10.39 | $10.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.33 / $21.28 / $47.61
| Facility | | $7.33 | $21.28 | $47.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $9.49 / $18.07
| Professional | | $5.57 | $9.49 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $14.10 / $17.18
| Professional | | $9.28 | $14.10 | $17.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.98 / $10.50 / $17.77
| Facility | | $7.98 | $10.50 | $17.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $10.50 / $15.64
| Professional | | $9.44 | $10.50 | $15.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.98 / $10.50 / $24.05
| Facility | | $7.98 | $10.50 | $24.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $9.77 / $16.34
| Professional | | $5.57 | $9.77 | $16.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.41 / $5.50 / $8.11
| Professional | | $4.41 | $5.50 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.71 / $4.71 / $10.50
| Professional | | $4.71 | $4.71 | $10.50 |