- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $16.22 / $38.90
| Facility | | $5.89 | $16.22 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $3.98 / $8.51
| Professional | | $3.98 | $3.98 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.84 / $38.90 / $5,011.87
| Facility | | $28.84 | $38.90 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $4.27 / $5.25
| Professional | | $4.27 | $4.27 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $8.51 / $19.05
| Facility | | $3.72 | $8.51 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $6.17 / $9.77
| Professional | | $3.31 | $6.17 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $5.13 / $7.94
| Professional | | $2.57 | $5.13 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $5.50 / $5.50
| Facility | | $5.50 | $5.50 | $5.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.17 / $9.55
| Professional | | $5.37 | $6.17 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $19.95 / $31.62
| Facility | | $13.18 | $19.95 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $3.98 / $5.50
| Professional | | $3.31 | $3.98 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $15.85 / $38.90
| Facility | | $5.75 | $15.85 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $19.50
| Professional | | $3.98 | $5.01 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $6.31 / $14.13
| Facility | | $5.50 | $6.31 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $5.89 / $14.13
| Professional | | $4.79 | $5.89 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $5.50 / $6.61
| Facility | | $3.72 | $5.50 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $3.55 / $9.55
| Professional | | $2.45 | $3.55 | $9.55 |