- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $5.67 / $6.43
| Facility | | $4.37 | $5.67 | $6.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $5.75 / $7.66
| Professional | | $4.29 | $5.75 | $7.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $5.57 / $5.57
| Professional | | $5.57 | $5.57 | $5.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.60 / $9.25 / $24.32
| Facility | | $5.60 | $9.25 | $24.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $4.17 / $4.67
| Professional | | $4.17 | $4.17 | $4.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $8.76 / $8.76
| Facility | | $8.76 | $8.76 | $8.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.26 / $5.26 / $5.57
| Facility | | $5.26 | $5.26 | $5.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $5.57
| Professional | | $4.47 | $4.47 | $5.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $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
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $6.43 / $8.76
| Facility | | $2.40 | $6.43 | $8.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $7.88 / $8.76
| Professional | | $5.36 | $7.88 | $8.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $6.28 / $8.76
| Facility | | $2.40 | $6.28 | $8.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $7.28
| Professional | | $4.47 | $4.47 | $7.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $4.04 / $5.34
| Professional | | $3.10 | $4.04 | $5.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $4.40 / $8.76
| Professional | | $4.40 | $4.40 | $8.76 |