- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.48 / $35.64 / $71.02
| Facility | | $7.48 | $35.64 | $71.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $7.52 / $11.87
| Professional | | $5.54 | $7.52 | $11.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.15 / $32.54 / $59.24
| Facility | | $12.15 | $32.54 | $59.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.50 / $8.80
| Professional | | $5.00 | $5.50 | $8.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.89 / $15.33 / $57.92
| Facility | | $9.89 | $15.33 | $57.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.89 / $9.89 / $10.88
| Facility | | $9.89 | $9.89 | $10.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.91 / $20.75 / $43.80
| Facility | | $6.91 | $20.75 | $43.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $6.86 / $15.87
| Professional | | $5.24 | $6.86 | $15.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.83 / $9.89 / $14.15
| Facility | | $7.83 | $9.89 | $14.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.48 / $9.89 / $12.30
| Professional | | $9.48 | $9.89 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.83 / $9.89 / $25.14
| Facility | | $7.83 | $9.89 | $25.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $7.26 / $13.63
| Professional | | $5.24 | $7.26 | $13.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.67 / $9.89 / $15.54
| Facility | | $5.67 | $9.89 | $15.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.15 / $5.54 / $9.89
| Professional | | $4.15 | $5.54 | $9.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.86 / $4.66 / $9.89
| Professional | | $3.86 | $4.66 | $9.89 |