- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.78 / $5.23 / $51.43
| Facility | | $4.78 | $5.23 | $51.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.78 / $8.32 / $51.43
| Professional | | $4.78 | $8.32 | $51.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.59 / $6.66 / $11.27
| Facility | | $5.59 | $6.66 | $11.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $7.65 / $16.57
| Professional | | $6.50 | $7.65 | $16.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.71 / $26.28 / $37.67
| Facility | | $18.71 | $26.28 | $37.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.73 / $45.05 / $67.03
| Professional | | $20.73 | $45.05 | $67.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $7.28 / $7.28
| Professional | | $7.28 | $7.28 | $7.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.82 / $19.61 / $24.07
| Professional | | $17.82 | $19.61 | $24.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $22.29 / $41.01
| Professional | | $12.00 | $22.29 | $41.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.19 / $83.77 / $85.00
| Facility | | $36.19 | $83.77 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $88.79 / $88.79 / $133.72
| Professional | | $88.79 | $88.79 | $133.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.55 / $36.55 / $36.55
| Professional | | $36.55 | $36.55 | $36.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.75 / $17.82 / $24.20
| Facility | | $12.75 | $17.82 | $24.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $7.28 / $18.87
| Professional | | $7.28 | $7.28 | $18.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.64 / $33.64 / $33.64
| Professional | | $33.64 | $33.64 | $33.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $7.56 / $19.97
| Professional | | $7.12 | $7.56 | $19.97 |