- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.24 / $17.59 / $27.05
| Facility | | $5.24 | $17.59 | $27.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.31 / $26.72
| Professional | | $5.05 | $5.31 | $26.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.64 / $42.38 / $8,639.91
| Facility | | $32.64 | $42.38 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Professional | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.25 / $8.63 / $21.73
| Facility | | $4.25 | $8.63 | $21.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $7.43 / $11.42
| Professional | | $4.04 | $7.43 | $11.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $3.82 / $8.76
| Professional | | $2.98 | $3.82 | $8.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.93 / $12.93 / $12.93
| Facility | | $12.93 | $12.93 | $12.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $17.71 / $28.57
| Facility | | $5.50 | $17.71 | $28.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.50 / $26.72
| Professional | | $5.01 | $5.50 | $26.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.69 / $78.20 / $108.78
| Facility | | $75.69 | $78.20 | $108.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $9.83 / $21.73
| Facility | | $4.34 | $9.83 | $21.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $7.43 / $11.42
| Professional | | $4.04 | $7.43 | $11.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $6.47
| Facility | | $6.47 | $6.47 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $6.47 / $9.22
| Professional | | $5.69 | $6.47 | $9.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.97 / $11.34
| Professional | | $2.72 | $3.97 | $11.34 |