- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $16.98 / $27.54
| Facility | | $6.46 | $16.98 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.89 / $28.84
| Professional | | $3.98 | $5.89 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $9.12 / $60.26
| Facility | | $5.89 | $9.12 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $6.46 / $13.80
| Professional | | $3.89 | $6.46 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $15.85 / $25.12
| Facility | | $12.59 | $15.85 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $6.03 / $8.32
| Professional | | $6.03 | $6.03 | $8.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $10.23 / $25.12
| Facility | | $5.01 | $10.23 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $7.76 / $10.96
| Professional | | $4.68 | $7.76 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $3,630.78 / $9,772.37
| Facility | | $8.91 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $10.96
| Professional | | $9.33 | $9.33 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $6.46 / $19.50
| Professional | | $6.46 | $6.46 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $7.59
| Facility | | $7.59 | $7.59 | $7.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $9.12 / $60.26
| Facility | | $5.89 | $9.12 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $6.46 / $13.80
| Professional | | $3.89 | $6.46 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $6.46 / $10.47
| Facility | | $3.72 | $6.46 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $5.75 / $15.49
| Professional | | $3.24 | $5.75 | $15.49 |