- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.61 / $5.05 / $49.69
| Facility | | $4.61 | $5.05 | $49.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.61 / $8.02 / $49.69
| Professional | | $4.61 | $8.02 | $49.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.57 / $6.64 / $11.23
| Facility | | $5.57 | $6.64 | $11.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $7.63 / $17.22
| Professional | | $7.63 | $7.63 | $17.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.07 / $25.38 / $36.38
| Facility | | $18.07 | $25.38 | $36.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.03 / $43.53 / $64.76
| Professional | | $20.03 | $43.53 | $64.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $8.78 / $8.78
| Professional | | $8.78 | $8.78 | $8.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.22 / $18.94 / $23.25
| Professional | | $17.22 | $18.94 | $23.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $21.53 / $39.61
| Professional | | $11.00 | $21.53 | $39.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.96 / $81.01 / $85.00
| Facility | | $34.96 | $81.01 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $85.76 / $85.76 / $129.15
| Professional | | $85.76 | $85.76 | $129.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $17.22 / $23.59
| Facility | | $12.31 | $17.22 | $23.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $8.78 / $18.42
| Professional | | $8.78 | $8.78 | $18.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.50 / $32.50 / $32.50
| Professional | | $32.50 | $32.50 | $32.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $12.49 / $15.50
| Professional | | $11.35 | $12.49 | $15.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $7.76 / $22.41
| Professional | | $6.75 | $7.76 | $22.41 |