- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.76 / $5.95 / $9.69
| Facility | | $1.76 | $5.95 | $9.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.76 / $2.16 / $3.88
| Professional | | $1.76 | $2.16 | $3.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.41
| Professional | | $1.41 | $1.41 | $1.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.91 / $14.17 / $8,639.91
| Facility | | $10.91 | $14.17 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.69 / $1.69 / $1.69
| Professional | | $1.69 | $1.69 | $1.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.43 / $2.89 / $7.61
| Facility | | $1.43 | $2.89 | $7.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $2.48 / $3.81
| Professional | | $1.40 | $2.48 | $3.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.28 / $2.94
| Professional | | $1.00 | $1.28 | $2.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.03 / $16.95 / $21.00
| Facility | | $3.03 | $16.95 | $21.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.41
| Professional | | $1.41 | $1.41 | $1.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.02 / $5.90 / $9.69
| Facility | | $2.02 | $5.90 | $9.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.71 / $2.50 / $8.96
| Professional | | $1.71 | $2.50 | $8.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.45 / $3.30 / $7.61
| Facility | | $1.45 | $3.30 | $7.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $2.48 / $3.81
| Professional | | $1.40 | $2.48 | $3.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.17 / $2.17 / $2.17
| Facility | | $2.17 | $2.17 | $2.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.91 / $2.17 / $3.09
| Professional | | $1.91 | $2.17 | $3.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.30 / $2.17 / $3.79
| Professional | | $1.30 | $2.17 | $3.79 |