- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $13.49 / $51.29
| Facility | | $6.31 | $13.49 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $14.79
| Professional | | $3.02 | $3.98 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $34.67 / $5,011.87
| Facility | | $25.70 | $34.67 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $4.27
| Professional | | $3.89 | $3.89 | $4.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $7.59 / $16.60
| Facility | | $3.39 | $7.59 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $5.75 / $8.51
| Professional | | $3.02 | $5.75 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $5.01 / $7.24
| Professional | | $2.34 | $5.01 | $7.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $5.01
| Facility | | $5.01 | $5.01 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $5.50 / $8.71
| Professional | | $4.79 | $5.50 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $17.38 / $144.54
| Facility | | $8.91 | $17.38 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.02 / $3.02
| Professional | | $3.02 | $3.02 | $3.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $13.49 / $83.18
| Facility | | $6.03 | $13.49 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.47 / $18.20
| Professional | | $3.02 | $4.47 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.89 / $8.32
| Facility | | $5.01 | $5.89 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $6.61 / $20.42
| Professional | | $4.37 | $6.61 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $5.01 / $6.03
| Facility | | $3.31 | $5.01 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $3.24 / $8.51
| Professional | | $2.09 | $3.24 | $8.51 |