- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.49 / $10.66 / $25.78
| Facility | | $2.49 | $10.66 | $25.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $2.82 / $9.14
| Professional | | $2.25 | $2.82 | $9.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.38 / $9.67 / $293.00
| Facility | | $4.38 | $9.67 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.60 / $2.41 / $6.07
| Professional | | $1.60 | $2.41 | $6.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.30 / $20.95 / $43.96
| Facility | | $6.30 | $20.95 | $43.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.46 / $2.09 / $19.25
| Professional | | $1.46 | $2.09 | $19.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.58 / $5.27 / $13.44
| Facility | | $2.58 | $5.27 | $13.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $4.54 / $6.20
| Professional | | $1.82 | $4.54 | $6.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $4.01 / $6.42
| Professional | | $2.58 | $4.01 | $6.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $4.01 / $8.48
| Professional | | $3.21 | $4.01 | $8.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $70.00
| Facility | | $55.00 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $2.40
| Professional | | $2.40 | $2.40 | $2.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.61 / $4.01 / $10.19
| Facility | | $2.61 | $4.01 | $10.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $3.25 / $5.36
| Professional | | $1.85 | $3.25 | $5.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.07 / $14.07 / $14.07
| Professional | | $14.07 | $14.07 | $14.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $3.77 / $5.28
| Professional | | $3.21 | $3.77 | $5.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $2.41 / $7.70
| Professional | | $1.98 | $2.41 | $7.70 |