- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $13.80 / $51.29
| Facility | | $5.37 | $13.80 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $5.01 / $22.91
| Professional | | $3.02 | $5.01 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.14 / $2.14
| Professional | | $2.14 | $2.14 | $2.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $34.67 / $5,011.87
| Facility | | $26.30 | $34.67 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $5.01
| Professional | | $3.89 | $3.89 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $7.94 / $16.60
| Facility | | $3.39 | $7.94 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $6.03 / $12.30
| Professional | | $3.09 | $6.03 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.95 / $7.24
| Professional | | $2.34 | $2.95 | $7.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $5.01
| Facility | | $5.01 | $5.01 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.75 / $8.71
| Professional | | $5.01 | $5.75 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $35.48 / $36.31
| Facility | | $35.48 | $35.48 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $13.80 / $51.29
| Facility | | $5.37 | $13.80 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $5.89 / $20.89
| Professional | | $3.63 | $5.89 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $5.01 / $7.59
| Facility | | $3.89 | $5.01 | $7.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.25 / $8.51
| Professional | | $3.89 | $5.25 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $5.01 / $6.03
| Facility | | $3.47 | $5.01 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $5.01 / $9.33
| Professional | | $2.69 | $5.01 | $9.33 |