- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.70 / $8.69 / $9.88
| Facility | | $6.70 | $8.69 | $9.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $8.82 / $11.76
| Professional | | $6.70 | $8.82 | $11.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.07 / $7.68 / $8.59
| Facility | | $7.07 | $7.68 | $8.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.39 / $6.39 / $7.17
| Professional | | $6.39 | $6.39 | $7.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.42 / $13.42 / $13.42
| Facility | | $13.42 | $13.42 | $13.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.07 / $8.07 / $8.07
| Facility | | $8.07 | $8.07 | $8.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $6.86 / $9.49
| Professional | | $6.86 | $6.86 | $9.49 |
- 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
- $66.83 / $66.83 / $100.65
| Professional | | $66.83 | $66.83 | $100.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.68 / $9.88 / $13.42
| Facility | | $3.68 | $9.88 | $13.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.21 / $12.08 / $13.42
| Professional | | $8.21 | $12.08 | $13.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.68 / $9.61 / $13.42
| Facility | | $3.68 | $9.61 | $13.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $6.86 / $11.17
| Professional | | $6.86 | $6.86 | $11.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $5.22 / $6.44
| Facility | | $4.51 | $5.22 | $6.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $6.20 / $8.18
| Professional | | $4.75 | $6.20 | $8.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.73 / $6.73 / $13.42
| Professional | | $6.73 | $6.73 | $13.42 |