- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.46 / $11.69 / $39.10
| Facility | | $3.46 | $11.69 | $39.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $3.81 / $4.26
| Professional | | $3.46 | $3.81 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.52 / $27.94 / $8,639.91
| Facility | | $21.52 | $27.94 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $3.33 / $3.33
| Professional | | $3.33 | $3.33 | $3.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.80 / $5.70 / $14.13
| Facility | | $2.80 | $5.70 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $4.97 / $7.62
| Professional | | $2.64 | $4.97 | $7.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.96 / $2.52 / $5.78
| Professional | | $1.96 | $2.52 | $5.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.06 / $9.91 / $31.07
| Facility | | $2.06 | $9.91 | $31.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $4.07 / $4.07
| Professional | | $3.32 | $4.07 | $4.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $11.61 / $19.05
| Facility | | $3.63 | $11.61 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $3.84 / $17.64
| Professional | | $3.20 | $3.84 | $17.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.86 / $6.48 / $14.13
| Facility | | $2.86 | $6.48 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $4.97 / $7.62
| Professional | | $2.64 | $4.97 | $7.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $4.26 / $6.08
| Facility | | $4.26 | $4.26 | $6.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.76 / $4.26 / $6.08
| Professional | | $3.76 | $4.26 | $6.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.92 / $2.86 / $9.19
| Professional | | $1.92 | $2.86 | $9.19 |