- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $3.98 / $3.98
| Facility | | $3.47 | $3.98 | $3.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $3.98 / $6.03
| Professional | | $2.04 | $3.98 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $8.32 / $19.05
| Facility | | $5.37 | $8.32 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.24 / $3.63
| Professional | | $3.24 | $3.24 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $79.43
| Facility | | $7.08 | $7.08 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $4.17 / $4.27
| Facility | | $3.16 | $4.17 | $4.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $3.55 / $4.17
| Professional | | $3.55 | $3.55 | $4.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $85.11 / $85.11
| Facility | | $79.43 | $85.11 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $218.78 / $218.78
| Professional | | $33.88 | $218.78 | $218.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.55 / $5.89 / $8.51
| Facility | | $3.55 | $5.89 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.98 / $7.08
| Professional | | $2.00 | $3.98 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $81.28
| Professional | | $3.89 | $3.89 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $5.62 / $8.71
| Facility | | $3.39 | $5.62 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $3.55 / $4.90
| Professional | | $3.55 | $3.55 | $4.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $2.95 / $4.37
| Facility | | $2.00 | $2.95 | $4.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.16 / $4.17
| Professional | | $2.45 | $3.16 | $4.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $7.08
| Professional | | $7.08 | $7.08 | $7.08 |