- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.68 / $4.84 / $5.43
| Facility | | $3.68 | $4.84 | $5.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $4.84 / $6.46
| Professional | | $3.22 | $4.84 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.65 / $7.98 / $20.26
| Facility | | $5.65 | $7.98 | $20.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.51 / $3.51 / $3.51
| Professional | | $3.51 | $3.51 | $3.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $5.53 / $5.53
| Professional | | $5.53 | $5.53 | $5.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.44 / $4.44 / $8.64
| Facility | | $4.44 | $4.44 | $8.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $3.77 / $3.77
| Professional | | $3.77 | $3.77 | $3.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.96 / $80.00 / $85.00
| Facility | | $14.96 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.70 / $36.70 / $285.45
| Professional | | $36.70 | $36.70 | $285.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.84 / $5.82 / $9.21
| Facility | | $4.84 | $5.82 | $9.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.81 / $7.00 / $7.37
| Professional | | $5.81 | $7.00 | $7.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $8.48 / $14.50
| Professional | | $5.50 | $8.48 | $14.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.91 / $5.82 / $9.26
| Facility | | $4.91 | $5.82 | $9.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $3.77 / $6.15
| Professional | | $3.77 | $3.77 | $6.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $3.40 / $4.50
| Professional | | $2.61 | $3.40 | $4.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.28 / $7.37 / $9.94
| Professional | | $3.28 | $7.37 | $9.94 |