- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $14.13 / $29.51
| Facility | | $4.90 | $14.13 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $21.88
| Professional | | $3.02 | $3.98 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $6.92 / $79.43
| Facility | | $4.47 | $6.92 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $4.90 / $10.23
| Professional | | $2.40 | $4.90 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $12.30 / $19.50
| Facility | | $9.77 | $12.30 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $4.57 / $6.17
| Professional | | $4.57 | $4.57 | $6.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $7.76 / $18.62
| Facility | | $3.80 | $7.76 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $5.75 / $8.13
| Professional | | $3.63 | $5.75 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $3,630.78 / $9,772.37
| Facility | | $6.92 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.08 / $8.32
| Professional | | $7.08 | $7.08 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $4.90 / $14.79
| Professional | | $4.90 | $4.90 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $28.18 / $28.18
| Facility | | $6.31 | $28.18 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $6.92 / $79.43
| Facility | | $4.47 | $6.92 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $4.90 / $10.23
| Professional | | $2.45 | $4.90 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $4.90 / $7.94
| Facility | | $2.82 | $4.90 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $4.07 / $11.48
| Professional | | $2.09 | $4.07 | $11.48 |