- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.62 / $26.22 / $69.84
| Facility | | $10.62 | $26.22 | $69.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.87 / $11.38 / $15.17
| Professional | | $7.87 | $11.38 | $15.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.43 / $8.43 / $8.43
| Professional | | $8.43 | $8.43 | $8.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.02 / $44.82 / $84.16
| Facility | | $16.02 | $44.82 | $84.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.45 / $12.50
| Professional | | $5.00 | $7.45 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.62 / $14.05 / $14.05
| Facility | | $10.62 | $14.05 | $14.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.81 / $30.86 / $71.41
| Facility | | $9.81 | $30.86 | $71.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.45 / $10.29 / $23.52
| Professional | | $7.45 | $10.29 | $23.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.65 / $120.35 / $120.35
| Facility | | $94.65 | $120.35 | $120.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.24 / $14.05 / $18.27
| Facility | | $11.24 | $14.05 | $18.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.78 / $14.05 / $18.30
| Professional | | $12.78 | $14.05 | $18.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.24 / $14.05 / $33.00
| Facility | | $11.24 | $14.05 | $33.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.45 / $10.82 / $20.11
| Professional | | $7.45 | $10.82 | $20.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $5.90 / $14.05
| Facility | | $5.05 | $5.90 | $14.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $8.09 / $10.50
| Professional | | $5.90 | $8.09 | $10.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $6.94 / $14.05
| Professional | | $5.48 | $6.94 | $14.05 |