- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $12.88 / $20.89
| Facility | | $6.92 | $12.88 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $12.02
| Professional | | $3.98 | $5.01 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $17.78
| Facility | | $6.92 | $6.92 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.16 / $15.85
| Professional | | $3.16 | $3.16 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $6.92 / $6.92
| Facility | | $4.17 | $6.92 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.92 / $6.92
| Professional | | $5.01 | $6.92 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $17.78 / $64.57
| Facility | | $5.25 | $17.78 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $9.55 / $33.11
| Professional | | $4.27 | $9.55 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $8.91 / $24.55
| Facility | | $6.03 | $8.91 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.79 / $13.49
| Professional | | $3.24 | $4.79 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $6.92
| Facility | | $6.92 | $6.92 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $6.92 / $8.91
| Professional | | $5.89 | $6.92 | $8.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $12.88 / $50,118.72
| Facility | | $8.13 | $12.88 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $6.17 / $8.32
| Facility | | $4.17 | $6.17 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $4.17 / $10.96
| Professional | | $2.88 | $4.17 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $6.92 / $15.49
| Facility | | $5.89 | $6.92 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $7.24 / $21.38
| Professional | | $5.89 | $7.24 | $21.38 |