- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $21.40 / $79.45
| Facility | | $3.89 | $21.40 | $79.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.05 / $3.89 / $14.08
| Professional | | $3.05 | $3.89 | $14.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.63 / $10.19 / $293.00
| Facility | | $4.63 | $10.19 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.69 / $2.58 / $6.88
| Professional | | $1.69 | $2.58 | $6.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.67 / $28.69 / $58.75
| Facility | | $8.67 | $28.69 | $58.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.88 / $20.30
| Professional | | $2.02 | $2.88 | $20.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $5.56 / $14.16
| Facility | | $2.75 | $5.56 | $14.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $4.96 / $6.20
| Professional | | $2.40 | $4.96 | $6.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $4.23 / $6.77
| Professional | | $2.56 | $4.23 | $6.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.38 / $4.23 / $9.22
| Professional | | $3.38 | $4.23 | $9.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $80.00
| Facility | | $60.00 | $60.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $4.23 / $10.67
| Facility | | $2.95 | $4.23 | $10.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $4.21 / $6.74
| Professional | | $2.50 | $4.21 | $6.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.84 / $14.84 / $14.84
| Professional | | $14.84 | $14.84 | $14.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $3.38 / $4.23
| Professional | | $2.61 | $3.38 | $4.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $2.77 / $7.11
| Professional | | $2.54 | $2.77 | $7.11 |