- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.76 / $7.57
| Facility | | $6.47 | $6.76 | $7.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $6.76 / $9.01
| Professional | | $4.47 | $6.76 | $9.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.87 / $11.12 / $28.21
| Facility | | $7.87 | $11.12 | $28.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $4.90 / $4.90
| Professional | | $4.90 | $4.90 | $4.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.66 / $7.71 / $8.74
| Facility | | $6.66 | $7.71 | $8.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $8.74 / $10.28
| Professional | | $7.35 | $8.74 | $10.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $211.62 / $211.62 / $211.62
| Facility | | $211.62 | $211.62 | $211.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.18 / $6.18 / $12.05
| Facility | | $6.18 | $6.18 | $12.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $5.25
| Professional | | $5.25 | $5.25 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.87 / $80.00 / $85.00
| Facility | | $20.87 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.19 / $51.19 / $77.09
| Professional | | $51.19 | $51.19 | $77.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $8.09 / $12.83
| Facility | | $6.76 | $8.09 | $12.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $9.77 / $10.28
| Professional | | $8.69 | $9.77 | $10.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $11.01 / $20.30
| Professional | | $7.70 | $11.01 | $20.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.85 / $8.09 / $12.86
| Facility | | $6.85 | $8.09 | $12.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $8.57
| Professional | | $5.25 | $5.25 | $8.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.64 / $4.74 / $6.25
| Professional | | $3.64 | $4.74 | $6.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $10.28 / $13.88
| Professional | | $4.55 | $10.28 | $13.88 |