- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $10.76 / $37.32
| Facility | | $4.37 | $10.76 | $37.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $4.33 / $6.92
| Professional | | $3.45 | $4.33 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.15 / $19.04 / $34.74
| Facility | | $7.15 | $19.04 | $34.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $5.00 / $5.50
| Professional | | $3.06 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.77 / $9.23 / $35.38
| Facility | | $5.77 | $9.23 | $35.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.77 / $5.77 / $6.64
| Facility | | $5.77 | $5.77 | $6.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.03 / $12.68 / $29.10
| Facility | | $4.03 | $12.68 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $4.15 / $9.85
| Professional | | $3.06 | $4.15 | $9.85 |
- 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
- $4.62 / $5.77 / $7.50
| Facility | | $4.62 | $5.77 | $7.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $5.77 / $7.51
| Professional | | $5.19 | $5.77 | $7.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.62 / $5.77 / $14.53
| Facility | | $4.62 | $5.77 | $14.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $4.44 / $8.26
| Professional | | $3.06 | $4.44 | $8.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $5.77 / $9.49
| Facility | | $3.47 | $5.77 | $9.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.42 / $3.39 / $5.77
| Professional | | $2.42 | $3.39 | $5.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.85 / $5.77
| Professional | | $2.25 | $2.85 | $5.77 |