- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.12 / $29.55 / $84.48
| Facility | | $7.12 | $29.55 | $84.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.63 / $7.76
| Professional | | $4.84 | $5.63 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.88 / $10.02
| Professional | | $3.24 | $3.88 | $10.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.71 / $7.12 / $11.45
| Facility | | $5.71 | $7.12 | $11.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $3.88 / $7.76
| Professional | | $3.06 | $3.88 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.08 / $4.08 / $4.08
| Facility | | $4.08 | $4.08 | $4.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.53 / $4.53 / $7.56
| Professional | | $4.53 | $4.53 | $7.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.84 / $6.79 / $8.73
| Facility | | $4.84 | $6.79 | $8.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.21 / $6.48 / $10.66
| Professional | | $4.21 | $6.48 | $10.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.21 / $6.67 / $14.60
| Facility | | $4.21 | $6.67 | $14.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $6.61 / $11.14
| Professional | | $3.30 | $6.61 | $11.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.02 / $26.45 / $66.64
| Facility | | $7.02 | $26.45 | $66.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $5.20 / $12.12
| Professional | | $2.75 | $5.20 | $12.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.33 / $7.76
| Professional | | $4.84 | $5.33 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.97 / $8.53
| Professional | | $2.72 | $3.97 | $8.53 |