- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.98 / $11.96 / $72.28
| Facility | | $2.98 | $11.96 | $72.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $3.19 / $7.02
| Professional | | $2.36 | $3.19 | $7.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $2.37 / $2.74
| Professional | | $2.37 | $2.37 | $2.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.08 / $13.00 / $23.72
| Facility | | $5.08 | $13.00 | $23.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $4.61 / $5.50
| Professional | | $2.09 | $4.61 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.74 / $6.11 / $24.15
| Facility | | $3.74 | $6.11 | $24.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.94 / $4.20 / $4.20
| Facility | | $3.94 | $4.20 | $4.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $8.52 / $19.82
| Facility | | $2.75 | $8.52 | $19.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $3.31 / $6.58
| Professional | | $2.21 | $3.31 | $6.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.10 / $60.00 / $60.00
| Facility | | $41.10 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.15 / $3.94 / $5.12
| Facility | | $3.15 | $3.94 | $5.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $3.94 / $5.14
| Professional | | $3.55 | $3.94 | $5.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.15 / $3.94 / $10.87
| Facility | | $3.15 | $3.94 | $10.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $3.87 / $6.42
| Professional | | $2.09 | $3.87 | $6.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $3.94 / $6.49
| Facility | | $2.37 | $3.94 | $6.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.65 / $2.25 / $3.22
| Professional | | $1.65 | $2.25 | $3.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.54 / $1.95 / $3.94
| Professional | | $1.54 | $1.95 | $3.94 |