- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $12.07 / $33.51
| Facility | | $4.90 | $12.07 | $33.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.62 / $4.92 / $7.76
| Professional | | $3.62 | $4.92 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $4.49 / $4.49
| Professional | | $3.88 | $4.49 | $4.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.48 / $20.99 / $38.76
| Facility | | $8.48 | $20.99 | $38.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $5.00 / $5.50
| Professional | | $3.43 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $7.45
| Facility | | $6.47 | $6.47 | $7.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $14.15 / $30.23
| Facility | | $4.55 | $14.15 | $30.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $3.40 / $8.44
| Professional | | $3.40 | $3.40 | $8.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $80.00 / $80.00
| Facility | | $75.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.55 / $6.47 / $9.03
| Facility | | $5.55 | $6.47 | $9.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $6.47 / $8.43
| Professional | | $5.82 | $6.47 | $8.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.63 / $6.67 / $15.01
| Facility | | $5.63 | $6.67 | $15.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $4.98 / $9.27
| Professional | | $3.40 | $4.98 | $9.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $6.47 / $7.76
| Facility | | $3.80 | $6.47 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.70 / $4.34
| Professional | | $2.72 | $3.70 | $4.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.19 / $6.47
| Professional | | $2.52 | $3.19 | $6.47 |