- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $9.55 / $17.38
| Facility | | $5.37 | $9.55 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.98 / $9.33
| Professional | | $2.00 | $3.98 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $5.37 / $13.80
| Facility | | $5.37 | $5.37 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.19 / $8.91
| Professional | | $2.14 | $2.19 | $8.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $5.37 / $5.37
| Facility | | $3.16 | $5.37 | $5.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.37 / $5.37
| Professional | | $3.89 | $5.37 | $5.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $11.22 / $35.48
| Facility | | $3.89 | $11.22 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $5.75 / $25.70
| Professional | | $2.51 | $5.75 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $5.37 / $14.45
| Facility | | $2.00 | $5.37 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.72 / $10.23
| Professional | | $2.51 | $3.72 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.47 / $5.62
| Professional | | $3.02 | $4.47 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $10.00 / $50,118.72
| Facility | | $4.07 | $10.00 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $4.79 / $6.31
| Facility | | $2.24 | $4.79 | $6.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.16 / $7.76
| Professional | | $2.63 | $3.16 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $6.17 / $10.72
| Facility | | $2.82 | $6.17 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $5.37 / $12.02
| Professional | | $3.09 | $5.37 | $12.02 |