- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $4.07 / $40.04
| Facility | | $3.72 | $4.07 | $40.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $6.47 / $40.04
| Professional | | $3.72 | $6.47 | $40.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $5.18 / $8.76
| Facility | | $4.34 | $5.18 | $8.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $5.95 / $12.91
| Professional | | $5.95 | $5.95 | $12.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.56 / $20.45 / $29.31
| Facility | | $14.56 | $20.45 | $29.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.14 / $35.08 / $52.17
| Professional | | $16.14 | $35.08 | $52.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $7.09 / $7.09
| Professional | | $7.09 | $7.09 | $7.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.88 / $15.27 / $18.73
| Professional | | $13.88 | $15.27 | $18.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $17.35 / $31.92
| Professional | | $9.00 | $17.35 | $31.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $80.00 / $85.00
| Facility | | $28.18 | $80.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.12 / $69.12 / $104.10
| Professional | | $69.12 | $69.12 | $104.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.92 / $13.88 / $19.02
| Facility | | $9.92 | $13.88 | $19.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $7.09 / $14.84
| Professional | | $7.09 | $7.09 | $14.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.19 / $26.19 / $26.19
| Professional | | $26.19 | $26.19 | $26.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $10.74 / $12.70
| Professional | | $9.77 | $10.74 | $12.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $6.25 / $15.55
| Professional | | $5.54 | $6.25 | $15.55 |