- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $14.45 / $39.81
| Facility | | $5.37 | $14.45 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $9.33
| Professional | | $3.98 | $6.03 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $7.76 / $7.76
| Facility | | $6.03 | $7.76 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $12.88 / $33.11
| Facility | | $5.89 | $12.88 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.25 / $12.88
| Professional | | $3.47 | $5.25 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $70.79 / $70.79
| Facility | | $70.79 | $70.79 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $57.54 / $57.54
| Professional | | $40.74 | $57.54 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $7.76 / $14.45
| Facility | | $3.89 | $7.76 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.03 / $8.91
| Professional | | $3.98 | $6.03 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $6.46 / $7.41
| Professional | | $5.75 | $6.46 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $8.32 / $16.60
| Professional | | $7.76 | $8.32 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $7.76 / $19.95
| Facility | | $4.68 | $7.76 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.25 / $12.02
| Professional | | $3.47 | $5.25 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $3.63 / $7.76
| Facility | | $2.82 | $3.63 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.24 / $7.24
| Professional | | $3.02 | $3.24 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $6.46 / $7.76
| Professional | | $3.02 | $6.46 | $7.76 |