- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $16.22 / $28.18
| Facility | | $9.33 | $16.22 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $7.08 / $13.49
| Professional | | $3.02 | $7.08 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $24.55
| Facility | | $9.33 | $9.33 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $3.72 / $14.45
| Professional | | $3.72 | $3.72 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $9.33 / $9.33
| Facility | | $5.62 | $9.33 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $9.33 / $9.33
| Professional | | $6.92 | $9.33 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $19.95 / $54.95
| Facility | | $6.17 | $19.95 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $11.22 / $44.67
| Professional | | $3.89 | $11.22 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $10.23 / $21.88
| Facility | | $5.01 | $10.23 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $5.62 / $18.20
| Professional | | $4.37 | $5.62 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $7.94 / $9.77
| Professional | | $4.68 | $7.94 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $17.78 / $50,118.72
| Facility | | $6.17 | $17.78 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $8.51 / $11.22
| Facility | | $3.89 | $8.51 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.62 / $13.49
| Professional | | $3.89 | $5.62 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $7.94 / $10.72
| Facility | | $4.37 | $7.94 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $8.32 / $11.22
| Professional | | $4.79 | $8.32 | $11.22 |