- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $4.74 / $5.12
| Facility | | $4.68 | $4.74 | $5.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.71 / $4.88 / $6.32
| Professional | | $3.71 | $4.88 | $6.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.82 / $6.48 / $15.54
| Facility | | $5.82 | $6.48 | $15.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $5.95 / $5.95
| Professional | | $5.95 | $5.95 | $5.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $8.46 / $8.46
| Facility | | $8.46 | $8.46 | $8.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $2.95 / $2.95
| Professional | | $2.95 | $2.95 | $2.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.66 / $90.00 / $90.00
| Facility | | $14.66 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.15 / $63.60 / $66.14
| Professional | | $54.15 | $63.60 | $66.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $7.22 / $13.49
| Facility | | $4.80 | $7.22 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $6.86 / $7.22
| Professional | | $6.14 | $6.86 | $7.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.10 / $12.63
| Professional | | $7.08 | $8.10 | $12.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $7.22 / $13.49
| Facility | | $4.80 | $7.22 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $2.95 / $6.00
| Professional | | $2.95 | $2.95 | $6.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.28 / $4.97
| Professional | | $2.54 | $3.28 | $4.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $7.22 / $9.75
| Professional | | $7.22 | $7.22 | $9.75 |