- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.04 / $19.85 / $71.61
| Facility | | $4.04 | $19.85 | $71.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.71 / $4.25 / $8.60
| Professional | | $3.71 | $4.25 | $8.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.94 / $31.08 / $8,639.91
| Facility | | $23.94 | $31.08 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.70 / $3.70 / $3.70
| Professional | | $3.70 | $3.70 | $3.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.12 / $6.33 / $16.30
| Facility | | $3.12 | $6.33 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $5.78 / $8.46
| Professional | | $2.95 | $5.78 | $8.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.03 / $2.80 / $6.43
| Professional | | $1.03 | $2.80 | $6.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.35 / $22.25 / $55.84
| Facility | | $9.35 | $22.25 | $55.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $4.50 / $4.50
| Professional | | $4.50 | $4.50 | $4.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.88 / $19.62 / $71.61
| Facility | | $4.88 | $19.62 | $71.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.32 / $4.29 / $19.62
| Professional | | $3.32 | $4.29 | $19.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.18 / $7.21 / $16.30
| Facility | | $3.18 | $7.21 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $5.78 / $8.46
| Professional | | $2.95 | $5.78 | $8.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.75 / $4.75 / $4.75
| Facility | | $4.75 | $4.75 | $4.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.18 / $4.75 / $6.76
| Professional | | $4.18 | $4.75 | $6.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $3.12 / $8.32
| Professional | | $2.14 | $3.12 | $8.32 |