- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.85 / $49.10 / $147.60
| Facility | | $7.85 | $49.10 | $147.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $7.85 / $12.40
| Professional | | $5.78 | $7.85 | $12.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.65 / $4.96 / $6.20
| Professional | | $4.65 | $4.96 | $6.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.09 / $33.06 / $61.88
| Facility | | $12.09 | $33.06 | $61.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.68 / $7.51
| Professional | | $5.00 | $5.68 | $7.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $16.01 / $61.87
| Facility | | $10.33 | $16.01 | $61.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $10.33 / $15.50
| Professional | | $7.23 | $10.33 | $15.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $10.33 / $10.33
| Facility | | $10.33 | $10.33 | $10.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.22 / $22.55 / $47.40
| Facility | | $7.22 | $22.55 | $47.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.58 / $17.51
| Professional | | $5.47 | $7.58 | $17.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.41 / $76.81 / $76.81
| Facility | | $60.41 | $76.81 | $76.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $10.33 / $13.43
| Facility | | $8.26 | $10.33 | $13.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $10.33 / $13.46
| Professional | | $9.30 | $10.33 | $13.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $10.33 / $25.73
| Facility | | $8.26 | $10.33 | $25.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.95 / $14.81
| Professional | | $5.47 | $7.95 | $14.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $5.92 / $10.33
| Professional | | $4.34 | $5.92 | $10.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.03 / $5.09 / $10.33
| Professional | | $4.03 | $5.09 | $10.33 |