- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.22 / $10.82 / $16.62
| Facility | | $3.22 | $10.82 | $16.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $3.26 / $16.44
| Professional | | $3.10 | $3.26 | $16.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.44 / $23.95 / $8,639.91
| Facility | | $18.44 | $23.95 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $3.10 / $3.10
| Professional | | $3.10 | $3.10 | $3.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.62 / $5.31 / $13.04
| Facility | | $2.62 | $5.31 | $13.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $4.54 / $6.35
| Professional | | $2.33 | $4.54 | $6.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.83 / $2.35 / $5.39
| Professional | | $1.83 | $2.35 | $5.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.94 / $32.94 / $32.94
| Facility | | $32.94 | $32.94 | $32.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.38 / $10.82 / $16.62
| Facility | | $3.38 | $10.82 | $16.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.99 / $3.38 / $16.44
| Professional | | $2.99 | $3.38 | $16.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.67 / $5.56 / $13.04
| Facility | | $2.67 | $5.56 | $13.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $4.54 / $6.35
| Professional | | $2.33 | $4.54 | $6.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $3.98 / $3.98
| Facility | | $3.98 | $3.98 | $3.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $3.98 / $5.20
| Professional | | $3.50 | $3.98 | $5.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.07 / $3.07 / $6.13
| Facility | | $3.07 | $3.07 | $6.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $2.72 / $6.93
| Professional | | $1.79 | $2.72 | $6.93 |