- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.17 / $7.45 / $22.06
| Facility | | $5.17 | $7.45 | $22.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $7.73 / $7.91
| Professional | | $6.42 | $7.73 | $7.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $8.84 / $15.03
| Professional | | $7.91 | $8.84 | $15.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.16 / $5.16 / $5.68
| Facility | | $5.16 | $5.16 | $5.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $5.16 / $5.16
| Professional | | $5.16 | $5.16 | $5.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.15 / $8.39 / $8.39
| Facility | | $8.15 | $8.39 | $8.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $8.76 / $15.15
| Facility | | $8.76 | $8.76 | $15.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $8.76 / $10.82
| Professional | | $8.24 | $8.76 | $10.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $8.75
| Facility | | $7.08 | $7.08 | $8.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $7.08 / $8.75
| Professional | | $1.94 | $7.08 | $8.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.08 / $2.08 / $4.07
| Facility | | $2.08 | $2.08 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.15 / $8.39 / $597.00
| Facility | | $8.15 | $8.39 | $597.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.12 / $0.12 / $11.03
| Facility | | $0.12 | $0.12 | $11.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.91 / $9.77 / $10.76
| Professional | | $3.91 | $9.77 | $10.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $8.75
| Facility | | $8.75 | $8.75 | $8.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.94 / $8.75 / $8.75
| Professional | | $1.94 | $8.75 | $8.75 |