- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.65 / $19.10 / $29.17
| Facility | | $5.65 | $19.10 | $29.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $6.09 / $6.41
| Professional | | $5.44 | $6.09 | $6.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.20 / $45.70 / $8,639.91
| Facility | | $35.20 | $45.70 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $5.44 / $5.44
| Professional | | $5.44 | $5.44 | $5.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.59 / $9.30 / $22.82
| Facility | | $4.59 | $9.30 | $22.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $8.26 / $12.27
| Professional | | $4.34 | $8.26 | $12.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $4.12 / $9.44
| Professional | | $3.21 | $4.12 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.07 / $17.29 / $137.61
| Facility | | $16.07 | $17.29 | $137.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.65 / $19.10 / $29.17
| Facility | | $5.65 | $19.10 | $29.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.25 / $28.83
| Professional | | $5.03 | $6.25 | $28.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $10.61 / $22.82
| Facility | | $4.68 | $10.61 | $22.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $8.26 / $12.27
| Professional | | $4.34 | $8.26 | $12.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.98 / $6.98 / $6.98
| Facility | | $6.98 | $6.98 | $6.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $6.98 / $9.94
| Professional | | $6.14 | $6.98 | $9.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.49 / $3.49 / $4.79
| Facility | | $3.49 | $3.49 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.14 / $4.59 / $12.23
| Professional | | $3.14 | $4.59 | $12.23 |