- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.58 / $24.12 / $82.74
| Facility | | $5.58 | $24.12 | $82.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $6.20 / $12.40
| Professional | | $5.58 | $6.20 | $12.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.75 / $45.12 / $8,639.91
| Facility | | $34.75 | $45.12 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $5.37 / $5.37
| Professional | | $5.37 | $5.37 | $5.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.53 / $9.18 / $22.82
| Facility | | $4.53 | $9.18 | $22.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $7.85 / $12.27
| Professional | | $4.34 | $7.85 | $12.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $5.51 / $9.33
| Professional | | $3.17 | $5.51 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.74 / $13.07 / $198.00
| Facility | | $9.74 | $13.07 | $198.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $4.13 / $6.50
| Professional | | $4.13 | $4.13 | $6.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.58 / $19.53 / $82.74
| Facility | | $5.58 | $19.53 | $82.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $6.24 / $28.46
| Professional | | $5.17 | $6.24 | $28.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.61 / $10.46 / $22.82
| Facility | | $4.61 | $10.46 | $22.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $7.85 / $12.27
| Professional | | $4.34 | $7.85 | $12.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.89 / $6.89 / $6.89
| Facility | | $6.89 | $6.89 | $6.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $6.89 / $9.81
| Professional | | $6.06 | $6.89 | $9.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $4.53 / $12.07
| Professional | | $3.10 | $4.53 | $12.07 |