- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.88 / $12.46 / $135.75
| Facility | | $4.88 | $12.46 | $135.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.84 / $3.45 / $6.35
| Professional | | $2.84 | $3.45 | $6.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.35 / $6.35 / $16.51
| Facility | | $6.35 | $6.35 | $16.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.84 / $10.02
| Professional | | $2.54 | $3.84 | $10.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.81 / $6.35 / $6.35
| Facility | | $3.81 | $6.35 | $6.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $6.35 / $6.35
| Professional | | $4.63 | $6.35 | $6.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.44 / $12.72 / $16.29
| Facility | | $4.44 | $12.72 | $16.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $6.57 / $30.61
| Professional | | $2.94 | $6.57 | $30.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.00 / $8.26 / $332.00
| Facility | | $2.00 | $8.26 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.81 / $11.62
| Professional | | $2.54 | $3.81 | $11.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.40 / $6.66
| Professional | | $3.12 | $5.40 | $6.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.35 / $30.60 / $230.13
| Facility | | $6.35 | $30.60 | $230.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.20 / $15.27 / $70.65
| Facility | | $6.20 | $15.27 | $70.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.97 / $6.35 / $15.83
| Professional | | $2.97 | $6.35 | $15.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.67 / $3.81 / $9.61
| Professional | | $2.67 | $3.81 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.30 / $7.30 / $9.49
| Facility | | $7.30 | $7.30 | $9.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.42 / $7.63
| Professional | | $3.12 | $5.42 | $7.63 |