- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.89 / $8.94 / $10.15
| Facility | | $6.89 | $8.94 | $10.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.89 / $9.06 / $12.08
| Professional | | $6.89 | $9.06 | $12.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.89 / $8.76 / $8.76
| Professional | | $6.89 | $8.76 | $8.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.87 / $12.85 / $37.74
| Facility | | $7.87 | $12.85 | $37.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $6.57 / $7.37
| Professional | | $6.57 | $6.57 | $7.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.60 / $11.03 / $17.21
| Professional | | $8.60 | $11.03 | $17.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.79 / $13.79 / $13.79
| Facility | | $13.79 | $13.79 | $13.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.28 / $8.28 / $8.66
| Facility | | $8.28 | $8.28 | $8.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.05 / $7.05 / $8.88
| Professional | | $7.05 | $7.05 | $8.88 |
- 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
- $68.67 / $68.67 / $103.43
| Professional | | $68.67 | $68.67 | $103.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.78 / $10.15 / $13.79
| Facility | | $3.78 | $10.15 | $13.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $12.41 / $13.79
| Professional | | $8.44 | $12.41 | $13.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.78 / $9.86 / $13.79
| Facility | | $3.78 | $9.86 | $13.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.05 / $7.05 / $11.47
| Professional | | $7.05 | $7.05 | $11.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.36 / $8.39
| Professional | | $4.88 | $6.36 | $8.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $6.91 / $13.79
| Professional | | $6.91 | $6.91 | $13.79 |