- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.89 / $3.17 / $31.13
| Facility | | $2.89 | $3.17 | $31.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $4.71 / $31.13
| Professional | | $2.89 | $4.71 | $31.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.38 / $4.03 / $6.81
| Facility | | $3.38 | $4.03 | $6.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $4.63 / $10.02
| Professional | | $4.63 | $4.63 | $10.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.32 / $15.90 / $22.80
| Facility | | $11.32 | $15.90 | $22.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.55 / $27.27 / $40.58
| Professional | | $12.55 | $27.27 | $40.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $5.51 / $5.51
| Professional | | $5.51 | $5.51 | $5.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.79 / $11.87 / $14.57
| Professional | | $10.79 | $11.87 | $14.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.47 / $13.49 / $24.82
| Professional | | $6.47 | $13.49 | $24.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.90 / $80.00 / $85.00
| Facility | | $21.90 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.96 / $59.36 / $80.93
| Professional | | $57.96 | $59.36 | $80.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.72 / $10.79 / $14.65
| Facility | | $7.72 | $10.79 | $14.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $5.51 / $10.75
| Professional | | $5.51 | $5.51 | $10.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.36 / $20.36 / $20.36
| Professional | | $20.36 | $20.36 | $20.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $9.02 / $11.72
| Professional | | $8.63 | $9.02 | $11.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.23 / $4.87 / $14.04
| Professional | | $4.23 | $4.87 | $14.04 |