- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.84 / $5.51 / $5.77
| Facility | | $4.84 | $5.51 | $5.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $5.51 / $5.72
| Professional | | $5.48 | $5.51 | $5.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $6.05 / $12.10
| Facility | | $6.05 | $6.05 | $12.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $5.74 / $15.29
| Professional | | $5.74 | $5.74 | $15.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.23 / $10.28 / $10.28
| Facility | | $9.23 | $10.28 | $10.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $10.28 / $10.28
| Professional | | $10.28 | $10.28 | $10.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $2.89 / $2.89
| Professional | | $2.89 | $2.89 | $2.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $12.71 / $332.00
| Facility | | $6.05 | $12.71 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.05 / $10.89 / $16.82
| Professional | | $6.05 | $10.89 | $16.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.72 / $5.72 / $10.09
| Facility | | $5.72 | $5.72 | $10.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $9.99 / $10.73
| Professional | | $6.86 | $9.99 | $10.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $597.00 / $74,999.25
| Facility | | $555.00 | $597.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $8.00 / $14.05
| Professional | | $2.89 | $8.00 | $14.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.73 / $9.66 / $14.00
| Professional | | $2.73 | $9.66 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.09 / $10.09 / $10.49
| Facility | | $10.09 | $10.09 | $10.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $10.49 / $10.73
| Professional | | $9.99 | $10.49 | $10.73 |