- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $14.45 / $37.15
| Facility | | $5.75 | $14.45 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $19.95
| Professional | | $3.02 | $3.98 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $6.31 / $79.43
| Facility | | $4.07 | $6.31 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $4.47 / $9.33
| Professional | | $2.69 | $4.47 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $10.72 / $16.98
| Facility | | $8.51 | $10.72 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $4.17 / $5.75
| Professional | | $4.17 | $4.17 | $5.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $7.08 / $17.38
| Facility | | $3.47 | $7.08 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $5.37 / $7.94
| Professional | | $3.24 | $5.37 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.31 / $3,630.78 / $9,772.37
| Facility | | $6.31 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $6.46 / $7.76
| Professional | | $6.46 | $6.46 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $13.49
| Professional | | $4.47 | $4.47 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $5.89 / $58.88
| Facility | | $5.50 | $5.89 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $6.31 / $79.43
| Facility | | $4.07 | $6.31 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $4.47 / $9.33
| Professional | | $2.69 | $4.47 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $4.57 / $6.76
| Professional | | $3.98 | $4.57 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.57 / $4.47 / $7.24
| Facility | | $2.57 | $4.47 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $3.72 / $11.22
| Professional | | $2.24 | $3.72 | $11.22 |