- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $11.48 / $18.20
| Facility | | $6.03 | $11.48 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $8.71
| Professional | | $3.02 | $3.98 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $6.03 / $15.85
| Facility | | $6.03 | $6.03 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.45 / $11.75
| Professional | | $2.45 | $2.45 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $6.03 / $6.03
| Facility | | $3.63 | $6.03 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $6.03 / $6.03
| Professional | | $4.47 | $6.03 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $12.88 / $46.77
| Facility | | $4.57 | $12.88 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $7.41 / $28.84
| Professional | | $3.47 | $7.41 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $6.92 / $16.60
| Facility | | $3.47 | $6.92 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $4.27 / $11.75
| Professional | | $2.82 | $4.27 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $6.03 / $7.24
| Professional | | $4.68 | $6.03 | $7.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $11.48 / $50,118.72
| Facility | | $6.31 | $11.48 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $5.50 / $7.24
| Facility | | $3.47 | $5.50 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.55 / $9.12
| Professional | | $2.51 | $3.55 | $9.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $6.92 / $14.79
| Facility | | $4.37 | $6.92 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $6.31 / $18.20
| Professional | | $4.79 | $6.31 | $18.20 |