- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.96 / $16.73 / $45.64
| Facility | | $6.96 | $16.73 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $6.93 / $11.24
| Professional | | $5.25 | $6.93 | $11.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.31 / $28.86 / $52.47
| Facility | | $10.31 | $28.86 | $52.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.15 / $7.50
| Professional | | $5.00 | $5.15 | $7.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.36 / $9.36 / $9.36
| Facility | | $9.36 | $9.36 | $9.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.98 / $15.47 / $40.11
| Facility | | $5.98 | $15.47 | $40.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.41 / $4.79 / $14.00
| Professional | | $3.41 | $4.79 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $80.00 / $80.00
| Facility | | $60.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $9.36 / $10.31
| Facility | | $5.62 | $9.36 | $10.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.96 / $9.36 / $9.36
| Professional | | $6.96 | $9.36 | $9.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $9.36 / $22.53
| Facility | | $5.62 | $9.36 | $22.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.41 / $4.79 / $9.36
| Professional | | $3.41 | $4.79 | $9.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $8.26 / $11.24
| Facility | | $3.02 | $8.26 | $11.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.62 / $9.48
| Professional | | $4.09 | $5.62 | $9.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $3.75 / $9.36
| Professional | | $3.65 | $3.75 | $9.36 |