- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.45 / $12.43 / $61.52
| Facility | | $4.45 | $12.43 | $61.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.84 / $4.65 / $7.76
| Professional | | $3.84 | $4.65 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $2.33 / $2.33
| Professional | | $2.33 | $2.33 | $2.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $5.18 / $13.47
| Facility | | $5.18 | $5.18 | $13.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.47 / $3.13 / $11.68
| Professional | | $2.47 | $3.13 | $11.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.11 / $5.18 / $5.18
| Facility | | $3.11 | $5.18 | $5.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $5.18 / $5.18
| Professional | | $3.78 | $5.18 | $5.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $10.78 / $53.89
| Facility | | $3.62 | $10.78 | $53.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $7.10 / $34.89
| Professional | | $3.98 | $7.10 | $34.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $6.73 / $332.00
| Facility | | $2.50 | $6.73 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $3.11 / $9.48
| Professional | | $2.37 | $3.11 | $9.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.78 / $4.78 / $4.78
| Facility | | $4.78 | $4.78 | $4.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $4.97 / $6.23
| Professional | | $4.55 | $4.97 | $6.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.39 / $2.39 / $2.39
| Professional | | $2.39 | $2.39 | $2.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $14.03 / $52.64
| Facility | | $4.26 | $14.03 | $52.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.35 / $12.77 / $70.65
| Facility | | $6.35 | $12.77 | $70.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.15 / $7.23 / $10.67
| Professional | | $4.15 | $7.23 | $10.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $3.11 / $8.15
| Professional | | $2.33 | $3.11 | $8.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.96 / $5.96 / $19.05
| Facility | | $5.96 | $5.96 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $5.82 / $6.87
| Professional | | $4.55 | $5.82 | $6.87 |