- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $14.13 / $30.90
| Facility | | $4.68 | $14.13 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $10.72
| Professional | | $3.98 | $5.01 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $32.36 / $5,011.87
| Facility | | $24.55 | $32.36 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $4.37 / $4.57
| Professional | | $4.37 | $4.37 | $4.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $8.51 / $19.05
| Facility | | $3.72 | $8.51 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $6.17 / $9.77
| Professional | | $3.47 | $6.17 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.31 / $8.13
| Professional | | $2.63 | $3.31 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $5.62
| Facility | | $5.62 | $5.62 | $5.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $5.62 / $9.55
| Professional | | $4.90 | $5.62 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $13.80 / $22.39
| Facility | | $11.48 | $13.80 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $3.31 / $4.47
| Professional | | $3.31 | $3.31 | $4.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $13.80 / $30.90
| Facility | | $4.68 | $13.80 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $20.42
| Professional | | $3.98 | $5.01 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.17 / $5.62 / $16.22
| Facility | | $4.17 | $5.62 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $5.62 / $16.22
| Professional | | $4.17 | $5.62 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $5.62 / $6.61
| Facility | | $3.72 | $5.62 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.31 / $8.32
| Professional | | $2.51 | $3.31 | $8.32 |