- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $18.20 / $31.62
| Facility | | $7.08 | $18.20 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $19.50
| Professional | | $3.98 | $5.01 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $46.77 / $5,011.87
| Facility | | $35.48 | $46.77 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $6.61
| Professional | | $5.13 | $5.13 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $10.47 / $22.39
| Facility | | $4.47 | $10.47 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $7.59 / $11.48
| Professional | | $3.98 | $7.59 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $4.57 / $9.55
| Professional | | $3.09 | $4.57 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $6.61 / $6.61
| Facility | | $6.61 | $6.61 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $7.41 / $11.48
| Professional | | $6.61 | $7.41 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $25.70 / $38.90
| Facility | | $11.22 | $25.70 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $17.38 / $31.62
| Facility | | $7.08 | $17.38 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $6.03 / $23.99
| Professional | | $4.37 | $6.03 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $7.41 / $7.41
| Facility | | $6.61 | $7.41 | $7.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $7.41 / $15.49
| Professional | | $6.46 | $7.41 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $6.61 / $7.94
| Facility | | $4.47 | $6.61 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.37 / $11.48
| Professional | | $3.02 | $4.37 | $11.48 |