- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.55 / $50.15 / $155.68
| Facility | | $6.55 | $50.15 | $155.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $6.09 / $7.88
| Professional | | $4.09 | $6.09 | $7.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.27 / $4.73 / $6.82
| Professional | | $3.27 | $4.73 | $6.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.77 / $21.96 / $40.85
| Facility | | $7.77 | $21.96 | $40.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $5.00 / $6.07
| Professional | | $3.61 | $5.00 | $6.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.82 / $10.91 / $30.20
| Facility | | $6.82 | $10.91 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.12 / $6.82 / $10.23
| Professional | | $5.12 | $6.82 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.75 / $6.75 / $6.82
| Facility | | $6.75 | $6.75 | $6.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $14.90 / $34.39
| Facility | | $4.76 | $14.90 | $34.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $5.04 / $11.49
| Professional | | $3.61 | $5.04 | $11.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.46 / $6.82 / $9.94
| Facility | | $5.46 | $6.82 | $9.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $6.82 / $8.88
| Professional | | $6.14 | $6.82 | $8.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.46 / $6.82 / $16.10
| Facility | | $5.46 | $6.82 | $16.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $5.25 / $9.84
| Professional | | $3.61 | $5.25 | $9.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $3.93 / $5.57
| Professional | | $2.86 | $3.93 | $5.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $3.37 / $6.82
| Professional | | $2.66 | $3.37 | $6.82 |