- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $15.14 / $218.78
| Facility | | $5.75 | $15.14 | $218.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $25.70
| Professional | | $3.98 | $5.01 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $8.13 / $239.88
| Facility | | $5.25 | $8.13 | $239.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.75 / $12.02
| Professional | | $3.47 | $5.75 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.96 / $208.93 / $295.12
| Facility | | $165.96 | $208.93 | $295.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $5.37 / $7.24
| Professional | | $5.37 | $5.37 | $7.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $9.12 / $21.88
| Facility | | $4.47 | $9.12 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $7.08 / $9.55
| Professional | | $4.17 | $7.08 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $3,630.78 / $9,772.37
| Facility | | $7.41 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $8.32 / $10.00
| Professional | | $8.32 | $8.32 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $5.75 / $18.62
| Professional | | $5.75 | $5.75 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $7.41 / $104.71
| Facility | | $7.41 | $7.41 | $104.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $8.13 / $239.88
| Facility | | $5.25 | $8.13 | $239.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.75 / $12.02
| Professional | | $3.47 | $5.75 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $7.24 / $489.78
| Facility | | $2.88 | $7.24 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $4.79 / $17.78
| Professional | | $2.82 | $4.79 | $17.78 |