- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.06 / $3.35 / $32.93
| Facility | | $3.06 | $3.35 | $32.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $5.15 / $32.93
| Professional | | $3.22 | $5.15 | $32.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.12 / $4.97 / $13.13
| Facility | | $4.12 | $4.97 | $13.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $5.73 / $10.62
| Professional | | $5.73 | $5.73 | $10.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.04 / $15.65 / $24.17
| Facility | | $12.04 | $15.65 | $24.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $24.50 / $42.93
| Professional | | $6.17 | $24.50 | $42.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.86 / $6.86 / $9.08
| Facility | | $6.86 | $6.86 | $9.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $5.83 / $7.64
| Professional | | $5.83 | $5.83 | $7.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.14 / $11.42 / $13.70
| Professional | | $9.14 | $11.42 | $13.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.85 / $7.99 / $17.70
| Professional | | $6.85 | $7.99 | $17.70 |
- 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
- $56.87 / $56.87 / $85.65
| Professional | | $56.87 | $56.87 | $85.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.41 / $23.41 / $23.41
| Professional | | $23.41 | $23.41 | $23.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.13 / $10.11 / $11.43
| Facility | | $3.13 | $10.11 | $11.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $6.86 / $10.32
| Professional | | $5.83 | $6.86 | $10.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.54 / $21.54 / $21.54
| Professional | | $21.54 | $21.54 | $21.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.14 / $13.37 / $17.38
| Professional | | $9.14 | $13.37 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $4.84 / $11.64
| Professional | | $4.40 | $4.84 | $11.64 |