- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.35 / $2.57 / $25.26
| Facility | | $2.35 | $2.57 | $25.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $3.95 / $25.26
| Professional | | $2.57 | $3.95 | $25.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.17 / $3.81 / $10.08
| Facility | | $3.17 | $3.81 | $10.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $4.40 / $8.15
| Professional | | $4.40 | $4.40 | $8.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.23 / $12.00 / $18.53
| Facility | | $9.23 | $12.00 | $18.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $18.78 / $32.92
| Professional | | $4.73 | $18.78 | $32.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.26 / $7.51
| Facility | | $5.01 | $5.26 | $7.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $5.99
| Professional | | $4.47 | $4.47 | $5.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.01 / $8.76 / $10.51
| Professional | | $7.01 | $8.76 | $10.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.26 / $6.13 / $13.58
| Professional | | $5.26 | $6.13 | $13.58 |
- 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
- $43.62 / $43.62 / $65.70
| Professional | | $43.62 | $43.62 | $65.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.95 / $17.95 / $17.95
| Professional | | $17.95 | $17.95 | $17.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $7.75 / $8.88
| Facility | | $2.40 | $7.75 | $8.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $5.26 / $8.33
| Professional | | $4.47 | $5.26 | $8.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.52 / $16.52 / $16.52
| Professional | | $16.52 | $16.52 | $16.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.01 / $10.25 / $13.32
| Professional | | $7.01 | $10.25 | $13.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $3.71 / $8.60
| Professional | | $3.36 | $3.71 | $8.60 |