- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.58 / $6.02 / $6.50
| Facility | | $4.58 | $6.02 | $6.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $6.11 / $9.00
| Professional | | $4.58 | $6.11 | $9.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.86 / $10.36 / $25.15
| Facility | | $6.86 | $10.36 | $25.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $4.37 / $4.37
| Professional | | $4.37 | $4.37 | $4.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.88 / $6.88 / $6.88
| Professional | | $6.88 | $6.88 | $6.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.48 / $7.48 / $7.48
| Facility | | $7.48 | $7.48 | $7.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.48 / $6.48 / $12.31
| Facility | | $6.48 | $6.48 | $12.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $5.51 / $5.51
| Professional | | $5.51 | $5.51 | $5.51 |
- 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
- $6.10 / $7.22 / $11.43
| Facility | | $6.10 | $7.22 | $11.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $8.71 / $9.17
| Professional | | $7.79 | $8.71 | $9.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $12.40 / $19.70
| Professional | | $7.40 | $12.40 | $19.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.10 / $7.31 / $12.45
| Facility | | $6.10 | $7.31 | $12.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $5.51 / $8.73
| Professional | | $5.51 | $5.51 | $8.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.81 / $4.97 / $6.56
| Professional | | $3.81 | $4.97 | $6.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $9.17 / $12.38
| Professional | | $4.63 | $9.17 | $12.38 |