- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $19.05 / $61.66
| Facility | | $7.08 | $19.05 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $13.80
| Professional | | $6.03 | $7.94 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $7.08
| Professional | | $7.08 | $7.08 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $33.11 / $60.26
| Facility | | $12.59 | $33.11 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.62 / $9.77
| Professional | | $5.01 | $5.62 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $10.23 / $10.23
| Facility | | $9.33 | $10.23 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $22.39 / $53.70
| Facility | | $10.00 | $22.39 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $7.24 / $16.98
| Professional | | $5.37 | $7.24 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $89.13 / $89.13
| Facility | | $70.79 | $89.13 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $10.23 / $19.50
| Facility | | $7.76 | $10.23 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.91 / $13.18
| Professional | | $6.03 | $8.91 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $8.51 / $33.11
| Professional | | $7.59 | $8.51 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $10.96 / $30.20
| Facility | | $8.13 | $10.96 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.41 / $16.98
| Professional | | $5.75 | $7.41 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $6.17 / $10.23
| Facility | | $3.63 | $6.17 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $6.03 / $8.51
| Professional | | $4.27 | $6.03 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $3.98 / $10.23
| Professional | | $3.98 | $3.98 | $10.23 |