- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.46 / $11.61 / $19.85
| Facility | | $3.46 | $11.61 | $19.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $3.81 / $4.94
| Professional | | $3.46 | $3.81 | $4.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $4.26 / $4.26
| Professional | | $4.26 | $4.26 | $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
- $6.42 / $11.76 / $27.92
| Facility | | $6.42 | $11.76 | $27.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $4.00 / $4.40
| Professional | | $2.56 | $4.00 | $4.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $11.61 / $39.10
| Facility | | $3.63 | $11.61 | $39.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $3.87 / $17.64
| Professional | | $3.30 | $3.87 | $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 / $4.26
| Facility | | $4.26 | $4.26 | $4.26 |
- 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
- $2.56 / $4.26 / $7.81
| Professional | | $2.56 | $4.26 | $7.81 |