- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.72 / $2.98 / $29.32
| Facility | | $2.72 | $2.98 | $29.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $4.74 / $29.32
| Professional | | $2.72 | $4.74 | $29.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.19 / $3.79 / $6.42
| Facility | | $3.19 | $3.79 | $6.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.36 / $4.36 / $9.44
| Professional | | $4.36 | $4.36 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.65 / $14.96 / $21.45
| Facility | | $10.65 | $14.96 | $21.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.82 / $25.69 / $38.19
| Professional | | $11.82 | $25.69 | $38.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $5.19 / $5.19
| Professional | | $5.19 | $5.19 | $5.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $11.18 / $13.72
| Professional | | $10.16 | $11.18 | $13.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $12.70 / $23.37
| Professional | | $8.00 | $12.70 | $23.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.62 / $80.00 / $85.00
| Facility | | $20.62 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.60 / $50.60 / $76.20
| Professional | | $50.60 | $50.60 | $76.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.27 / $10.16 / $13.80
| Facility | | $7.27 | $10.16 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $5.19 / $10.86
| Professional | | $5.19 | $5.19 | $10.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.18 / $19.18 / $19.18
| Professional | | $19.18 | $19.18 | $19.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.16 / $7.87 / $9.31
| Professional | | $7.16 | $7.87 | $9.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $4.58 / $11.38
| Professional | | $4.05 | $4.58 | $11.38 |