- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $13.80 / $22.39
| Facility | | $7.41 | $13.80 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.03 / $10.96
| Professional | | $5.01 | $6.03 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $7.41 / $19.05
| Facility | | $7.41 | $7.41 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $3.80 / $16.98
| Professional | | $3.63 | $3.80 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $7.41 / $7.41
| Facility | | $4.47 | $7.41 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $7.41 / $7.41
| Professional | | $5.37 | $7.41 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $15.85 / $79.43
| Facility | | $5.13 | $15.85 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $10.96 / $48.98
| Professional | | $4.79 | $10.96 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $8.91 / $22.39
| Facility | | $5.50 | $8.91 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.13 / $14.45
| Professional | | $3.47 | $5.13 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.41 / $8.91
| Professional | | $5.75 | $7.41 | $8.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $13.80 / $50,118.72
| Facility | | $8.13 | $13.80 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $6.61 / $9.12
| Facility | | $4.47 | $6.61 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $4.47 / $11.22
| Professional | | $3.09 | $4.47 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $8.51 / $21.38
| Facility | | $5.62 | $8.51 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.76 / $23.99
| Professional | | $6.03 | $7.76 | $23.99 |