- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $20.21 / $56.61
| Facility | | $8.52 | $20.21 | $56.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $9.44 / $10.60
| Professional | | $6.46 | $9.44 | $10.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $6.92
| Professional | | $6.92 | $6.92 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $35.51 / $60.76
| Facility | | $11.53 | $35.51 | $60.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.11 / $9.22
| Professional | | $5.00 | $6.11 | $9.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.95 / $16.72 / $20.75
| Facility | | $10.95 | $16.72 | $20.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.32 / $11.53 / $11.53
| Facility | | $3.32 | $11.53 | $11.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $25.17 / $51.36
| Facility | | $8.06 | $25.17 | $51.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $8.47 / $19.69
| Professional | | $6.11 | $8.47 | $19.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $90.00
| Facility | | $55.00 | $70.00 | $90.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $11.53 / $14.41
| Facility | | $8.65 | $11.53 | $14.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.38 / $11.53 / $15.02
| Professional | | $10.38 | $11.53 | $15.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $11.53 / $26.68
| Facility | | $8.76 | $11.53 | $26.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $8.86 / $16.64
| Professional | | $6.11 | $8.86 | $16.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.59 / $7.72
| Professional | | $4.84 | $6.59 | $7.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $5.69 / $11.53
| Professional | | $4.50 | $5.69 | $11.53 |