- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.66 / $9.44 / $51.55
| Facility | | $3.66 | $9.44 | $51.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $3.21 / $4.28
| Professional | | $2.86 | $3.21 | $4.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $1.75 / $1.76
| Professional | | $1.75 | $1.75 | $1.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.67 / $3.67 / $9.53
| Facility | | $3.67 | $3.67 | $9.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $2.22 / $8.27
| Professional | | $1.75 | $2.22 | $8.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.20 / $3.67 / $3.67
| Facility | | $2.20 | $3.67 | $3.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.68 / $3.67 / $3.67
| Professional | | $2.68 | $3.67 | $3.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.56 / $7.77 / $38.96
| Facility | | $2.56 | $7.77 | $38.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $4.01 / $23.86
| Professional | | $2.82 | $4.01 | $23.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $5.60 / $332.00
| Facility | | $3.50 | $5.60 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.68 / $2.20 / $6.72
| Professional | | $1.68 | $2.20 | $6.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.67 / $3.67 / $3.67
| Facility | | $3.67 | $3.67 | $3.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $3.67 / $4.73
| Professional | | $3.23 | $3.67 | $4.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $2.94 / $2.94
| Professional | | $2.94 | $2.94 | $2.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.52 / $6.03 / $35.19
| Facility | | $2.52 | $6.03 | $35.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $2.45 / $2.45
| Professional | | $2.43 | $2.45 | $2.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.66 / $9.36 / $51.08
| Facility | | $4.66 | $9.36 | $51.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $5.04 / $7.56
| Professional | | $2.94 | $5.04 | $7.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.54 / $2.10 / $5.39
| Professional | | $1.54 | $2.10 | $5.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.22 / $4.22 / $13.50
| Facility | | $4.22 | $4.22 | $13.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $4.12 / $4.86
| Professional | | $3.23 | $4.12 | $4.86 |