- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $11.48 / $44.67
| Facility | | $4.27 | $11.48 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $19.05
| Professional | | $3.02 | $3.98 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $6.03 / $75.86
| Facility | | $3.89 | $6.03 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $4.27 / $9.77
| Professional | | $2.57 | $4.27 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $10.72 / $16.98
| Facility | | $8.51 | $10.72 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $4.07 / $5.50
| Professional | | $4.07 | $4.07 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $6.76 / $16.60
| Facility | | $3.39 | $6.76 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $5.37 / $7.24
| Professional | | $3.09 | $5.37 | $7.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $3,630.78 / $9,772.37
| Facility | | $6.17 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $6.03 / $7.08
| Professional | | $6.03 | $6.03 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $4.27 / $12.88
| Professional | | $4.27 | $4.27 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $10.00 / $46.77
| Facility | | $4.07 | $10.00 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $6.03 / $75.86
| Facility | | $3.89 | $6.03 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $4.27 / $9.77
| Professional | | $2.57 | $4.27 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $4.27 / $6.92
| Facility | | $2.45 | $4.27 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $3.89 / $10.23
| Professional | | $2.14 | $3.89 | $10.23 |