- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.94 / $16.78 / $58.40
| Facility | | $3.94 | $16.78 | $58.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $4.20 / $4.41
| Professional | | $3.94 | $4.20 | $4.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.52 / $31.84 / $8,639.91
| Facility | | $24.52 | $31.84 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $3.79 / $3.79
| Professional | | $3.79 | $3.79 | $3.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.20 / $6.47 / $16.30
| Facility | | $3.20 | $6.47 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $5.78 / $8.46
| Professional | | $3.11 | $5.78 | $8.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $3.89 / $6.58
| Professional | | $2.24 | $3.89 | $6.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $11.12 / $35.75
| Facility | | $8.65 | $11.12 | $35.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $4.50 / $4.50
| Professional | | $4.50 | $4.50 | $4.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $13.22 / $39.64
| Facility | | $4.13 | $13.22 | $39.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.50 / $4.20 / $20.07
| Professional | | $3.50 | $4.20 | $20.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.25 / $7.39 / $16.30
| Facility | | $3.25 | $7.39 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $5.78 / $8.46
| Professional | | $3.11 | $5.78 | $8.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.86 / $4.86 / $4.86
| Facility | | $4.86 | $4.86 | $4.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $4.86 / $6.31
| Professional | | $4.28 | $4.86 | $6.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.98 / $8.46
| Professional | | $2.04 | $2.98 | $8.46 |