- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.83 / $6.27 / $7.11
| Facility | | $4.83 | $6.27 | $7.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.21 / $6.35 / $8.22
| Professional | | $4.21 | $6.35 | $8.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.74 / $4.84 / $6.15
| Professional | | $4.74 | $4.84 | $6.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $4.73 / $5.82
| Facility | | $4.37 | $4.73 | $5.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $5.17 / $5.17
| Professional | | $5.17 | $5.17 | $5.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.68 / $9.68 / $9.68
| Facility | | $9.68 | $9.68 | $9.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.53 / $5.81 / $7.17
| Facility | | $3.53 | $5.81 | $7.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $4.94 / $6.63
| Professional | | $4.94 | $4.94 | $6.63 |
- 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
- $61.85 / $61.85 / $72.59
| Professional | | $61.85 | $61.85 | $72.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.65 / $7.11 / $9.68
| Facility | | $2.65 | $7.11 | $9.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.27 / $8.23 / $9.68
| Professional | | $3.27 | $8.23 | $9.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.65 / $6.93 / $9.68
| Facility | | $2.65 | $6.93 | $9.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $4.94 / $7.20
| Professional | | $4.94 | $4.94 | $7.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $4.46 / $5.89
| Professional | | $3.42 | $4.46 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $4.12 / $9.68
| Professional | | $4.12 | $4.12 | $9.68 |