- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.74 / $103.62 / $274.54
| Facility | | $5.74 | $103.62 | $274.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.83 / $4.01 / $7.60
| Professional | | $2.83 | $4.01 | $7.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $2.27 / $2.83
| Professional | | $2.27 | $2.27 | $2.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $14.57 / $27.69
| Facility | | $5.00 | $14.57 | $27.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $4.63 / $5.50
| Professional | | $2.50 | $4.63 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.72 / $7.55 / $30.84
| Facility | | $4.72 | $7.55 | $30.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $4.67 / $7.08
| Professional | | $3.30 | $4.67 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.72 / $4.72 / $5.44
| Facility | | $4.72 | $4.72 | $5.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.29 / $10.38 / $23.80
| Facility | | $3.29 | $10.38 | $23.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.43 / $8.21
| Professional | | $2.50 | $3.43 | $8.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.78 / $4.72 / $6.94
| Facility | | $3.78 | $4.72 | $6.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $4.72 / $6.16
| Professional | | $4.25 | $4.72 | $6.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.78 / $4.72 / $13.04
| Facility | | $3.78 | $4.72 | $13.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.63 / $6.77
| Professional | | $2.50 | $3.63 | $6.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.98 / $2.72 / $3.86
| Professional | | $1.98 | $2.72 | $3.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $2.33 / $4.72
| Professional | | $1.84 | $2.33 | $4.72 |