- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $11.22 / $18.62
| Facility | | $3.63 | $11.22 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.02 / $11.75
| Professional | | $3.02 | $3.02 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $30.20 / $5,011.87
| Facility | | $22.39 | $30.20 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $3.39 / $3.72
| Professional | | $3.39 | $3.39 | $3.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $6.46 / $14.45
| Facility | | $2.88 | $6.46 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $5.01 / $7.59
| Professional | | $2.63 | $5.01 | $7.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $2.51 / $6.31
| Professional | | $2.04 | $2.51 | $6.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $4.27 / $4.27
| Facility | | $4.27 | $4.27 | $4.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $4.79 / $7.41
| Professional | | $4.27 | $4.79 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $14.79 / $23.44
| Facility | | $6.03 | $14.79 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $11.22 / $19.05
| Facility | | $3.63 | $11.22 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $15.85
| Professional | | $3.02 | $3.98 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.69 / $5.62 / $7.41
| Facility | | $2.69 | $5.62 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $5.13 / $7.41
| Professional | | $2.69 | $5.13 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.88 / $4.27 / $5.13
| Facility | | $2.88 | $4.27 | $5.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $3.09 / $8.13
| Professional | | $1.95 | $3.09 | $8.13 |