- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $10.39 / $30.08
| Facility | | $4.13 | $10.39 | $30.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $4.74 / $9.72
| Professional | | $3.34 | $4.74 | $9.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $3.34 / $3.34
| Professional | | $3.34 | $3.34 | $3.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.91 / $18.38 / $33.53
| Facility | | $6.91 | $18.38 | $33.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $5.00 / $5.50
| Professional | | $2.95 | $5.00 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.90 / $5.55 / $8.72
| Professional | | $3.90 | $5.55 | $8.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.57 / $5.57 / $6.42
| Facility | | $5.57 | $5.57 | $6.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.90 / $12.23 / $27.75
| Facility | | $3.90 | $12.23 | $27.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.15 / $9.30
| Professional | | $2.95 | $4.15 | $9.30 |
- 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
- $4.46 / $5.57 / $7.24
| Facility | | $4.46 | $5.57 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.57 / $7.26
| Professional | | $5.01 | $5.57 | $7.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170.71 / $170.71 / $221.12
| Facility | | $170.71 | $170.71 | $221.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.46 / $5.57 / $13.89
| Facility | | $4.46 | $5.57 | $13.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $4.29 / $8.06
| Professional | | $2.95 | $4.29 | $8.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $3.19 / $4.55
| Professional | | $2.34 | $3.19 | $4.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $2.75 / $5.57
| Professional | | $2.17 | $2.75 | $5.57 |