- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.18 / $9.44 / $10.19
| Facility | | $7.18 | $9.44 | $10.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.25 / $9.44 / $12.59
| Professional | | $6.25 | $9.44 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.76 / $16.27 / $39.47
| Facility | | $10.76 | $16.27 | $39.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.85 / $6.85 / $6.85
| Professional | | $6.85 | $6.85 | $6.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $10.79 / $10.79
| Facility | | $10.79 | $10.79 | $10.79 |
- 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
- $8.64 / $8.64 / $16.86
| Facility | | $8.64 | $8.64 | $16.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.34 / $7.34 / $7.34
| Professional | | $7.34 | $7.34 | $7.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.21 / $80.00 / $85.00
| Facility | | $29.21 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.66 / $71.66 / $107.93
| Professional | | $71.66 | $71.66 | $107.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.44 / $11.32 / $17.94
| Facility | | $9.44 | $11.32 | $17.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.16 / $13.67 / $14.39
| Professional | | $12.16 | $13.67 | $14.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $16.55 / $28.30
| Professional | | $10.70 | $16.55 | $28.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.57 / $11.32 / $18.01
| Facility | | $9.57 | $11.32 | $18.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.34 / $7.34 / $12.16
| Professional | | $7.34 | $7.34 | $12.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $6.63 / $8.75
| Professional | | $5.09 | $6.63 | $8.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.38 / $14.39 / $19.43
| Professional | | $6.38 | $14.39 | $19.43 |