- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.24 / $17.26 / $27.05
| Facility | | $5.24 | $17.26 | $27.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.11 / $5.77 / $6.47
| Professional | | $5.11 | $5.77 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.64 / $42.38 / $8,639.91
| Facility | | $32.64 | $42.38 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Professional | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.25 / $8.63 / $21.73
| Facility | | $4.25 | $8.63 | $21.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $7.43 / $11.42
| Professional | | $4.04 | $7.43 | $11.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $5.18 / $8.76
| Professional | | $2.98 | $5.18 | $8.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.02 / $13.02 / $13.02
| Facility | | $13.02 | $13.02 | $13.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $5.50 / $10.10
| Professional | | $3.88 | $5.50 | $10.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $16.50 / $27.05
| Facility | | $6.05 | $16.50 | $27.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.80 / $26.72
| Professional | | $4.84 | $5.80 | $26.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.34 / $9.83 / $21.73
| Facility | | $4.34 | $9.83 | $21.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $7.43 / $11.42
| Professional | | $4.04 | $7.43 | $11.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $6.47
| Facility | | $6.47 | $6.47 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $6.47 / $9.22
| Professional | | $5.69 | $6.47 | $9.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.91 / $4.21 / $11.84
| Professional | | $2.91 | $4.21 | $11.84 |