- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.16 / $10.26 / $30.06
| Facility | | $4.16 | $10.26 | $30.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $4.46 / $5.34
| Professional | | $3.30 | $4.46 | $5.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $2.64 / $3.30
| Professional | | $2.64 | $2.64 | $3.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $15.28 / $30.86
| Facility | | $5.50 | $15.28 | $30.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.92 / $5.00 / $5.50
| Professional | | $2.92 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $8.25 / $26.07
| Facility | | $5.50 | $8.25 | $26.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.35 / $5.50 / $5.50
| Facility | | $5.35 | $5.50 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.85 / $12.03 / $24.87
| Facility | | $3.85 | $12.03 | $24.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.92 / $3.98 / $9.30
| Professional | | $2.92 | $3.98 | $9.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.91 / $69.81 / $69.81
| Facility | | $54.91 | $69.81 | $69.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $5.50 / $7.15
| Facility | | $4.40 | $5.50 | $7.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.95 / $5.50 / $7.16
| Professional | | $4.95 | $5.50 | $7.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $5.50 / $12.82
| Facility | | $4.40 | $5.50 | $12.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.92 / $4.23 / $7.88
| Professional | | $2.92 | $4.23 | $7.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.93 / $4.05 / $6.88
| Facility | | $1.93 | $4.05 | $6.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $3.15 / $4.49
| Professional | | $2.31 | $3.15 | $4.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $2.72 / $5.50
| Professional | | $2.15 | $2.72 | $5.50 |