- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.34 / $3.66 / $35.95
| Facility | | $3.34 | $3.66 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.66 / $4.78 / $35.95
| Professional | | $3.66 | $4.78 | $35.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.85 / $4.63 / $12.25
| Facility | | $3.85 | $4.63 | $12.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.35 / $5.35 / $11.59
| Professional | | $5.35 | $5.35 | $11.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.11 / $17.03 / $26.32
| Facility | | $13.11 | $17.03 | $26.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.73 / $26.74 / $46.85
| Professional | | $6.73 | $26.74 | $46.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.85 / $5.85 / $8.91
| Facility | | $5.85 | $5.85 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $5.08 / $5.85
| Professional | | $4.97 | $5.08 | $5.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.97 / $12.46 / $14.95
| Professional | | $9.97 | $12.46 | $14.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $8.72 / $19.30
| Professional | | $7.48 | $8.72 | $19.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.68 / $61.68 / $93.45
| Professional | | $61.68 | $61.68 | $93.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.41 / $10.91 / $12.46
| Facility | | $3.41 | $10.91 | $12.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.97 / $5.08 / $10.91
| Professional | | $4.97 | $5.08 | $10.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.51 / $23.51 / $23.51
| Professional | | $23.51 | $23.51 | $23.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.97 / $10.41 / $13.53
| Professional | | $9.97 | $10.41 | $13.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.74 / $5.29 / $13.71
| Professional | | $4.74 | $5.29 | $13.71 |