- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $7.94 / $72.44
| Facility | | $7.08 | $7.94 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.96 / $28.84
| Professional | | $7.08 | $10.96 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $9.12 / $21.38
| Professional | | $6.61 | $9.12 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.14 / $33.88
| Facility | | $9.77 | $15.14 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $10.00
| Professional | | $10.00 | $10.00 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $10.00 / $13.80
| Professional | | $8.13 | $10.00 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $79.43
| Facility | | $79.43 | $79.43 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $5.01
| Professional | | $5.01 | $5.01 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $89.13 / $89.13
| Facility | | $89.13 | $89.13 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.72 / $97.72 / $186.21
| Professional | | $97.72 | $97.72 | $186.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $12.30 / $33.88
| Facility | | $7.94 | $12.30 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $23.44
| Professional | | $7.08 | $10.00 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $18.62 / $45.71
| Professional | | $16.22 | $18.62 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $12.30 / $36.31
| Facility | | $7.94 | $12.30 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $9.55
| Professional | | $5.13 | $5.13 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $5.50 / $8.32
| Professional | | $4.27 | $5.50 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $12.30 / $12.30
| Professional | | $11.48 | $12.30 | $12.30 |