- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.45 / $4.88 / $40.77
| Facility | | $4.45 | $4.88 | $40.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $7.15 / $40.77
| Professional | | $4.88 | $7.15 | $40.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.09 / $6.13 / $16.22
| Facility | | $5.09 | $6.13 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $15.47
| Professional | | $7.08 | $7.08 | $15.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.86 / $19.30 / $29.84
| Facility | | $14.86 | $19.30 | $29.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $30.32 / $53.13
| Professional | | $7.64 | $30.32 | $53.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.09 / $9.99 / $11.79
| Facility | | $8.09 | $9.99 | $11.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $8.49 / $10.29
| Professional | | $8.49 | $8.49 | $10.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.31 / $14.14 / $16.97
| Professional | | $11.31 | $14.14 | $16.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.48 / $9.90 / $21.92
| Professional | | $8.48 | $9.90 | $21.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $82.82 / $82.82 / $106.05
| Professional | | $82.82 | $82.82 | $106.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $12.48 / $14.85
| Facility | | $4.55 | $12.48 | $14.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $9.99 / $13.50
| Professional | | $8.49 | $9.99 | $13.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.67 / $26.67 / $26.67
| Professional | | $26.67 | $26.67 | $26.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.31 / $11.31 / $11.31
| Professional | | $11.31 | $11.31 | $11.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $7.05 / $14.26
| Professional | | $6.36 | $7.05 | $14.26 |