- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.84 / $4.99 / $5.66
| Facility | | $3.84 | $4.99 | $5.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $5.05 / $6.74
| Professional | | $3.77 | $5.05 | $6.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.62 / $4.62 / $4.62
| Professional | | $4.62 | $4.62 | $4.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.05 / $4.38 / $4.91
| Facility | | $4.05 | $4.38 | $4.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.67 / $3.67 / $4.11
| Professional | | $3.67 | $3.67 | $4.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $6.16 / $9.51
| Professional | | $4.80 | $6.16 | $9.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.70 / $7.70 / $7.70
| Facility | | $7.70 | $7.70 | $7.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.53 / $4.62 / $5.71
| Facility | | $4.53 | $4.62 | $5.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $3.93 / $5.44
| Professional | | $3.93 | $3.93 | $5.44 |
- 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
- $38.35 / $38.35 / $57.75
| Professional | | $38.35 | $38.35 | $57.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.11 / $5.66 / $7.70
| Facility | | $2.11 | $5.66 | $7.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.71 / $6.93 / $7.70
| Professional | | $4.71 | $6.93 | $7.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.11 / $5.50 / $7.70
| Facility | | $2.11 | $5.50 | $7.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $3.93 / $6.40
| Professional | | $3.93 | $3.93 | $6.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.55 / $4.68
| Professional | | $2.72 | $3.55 | $4.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.85 / $3.85 / $7.70
| Professional | | $3.85 | $3.85 | $7.70 |