- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $8.61 / $34.17
| Facility | | $3.62 | $8.61 | $34.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $3.81 / $4.26
| Professional | | $3.17 | $3.81 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $4.26 / $11.10
| Facility | | $4.26 | $4.26 | $11.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $2.60 / $9.80
| Professional | | $2.11 | $2.60 | $9.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.56 / $4.26 / $4.26
| Facility | | $2.56 | $4.26 | $4.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $4.26 / $4.26
| Professional | | $3.12 | $4.26 | $4.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.98 / $8.47 / $44.95
| Facility | | $2.98 | $8.47 | $44.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $4.75 / $38.57
| Professional | | $3.25 | $4.75 | $38.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $5.98 / $332.00
| Facility | | $3.00 | $5.98 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $2.56 / $7.81
| Professional | | $1.95 | $2.56 | $7.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.43 / $3.43 / $3.43
| Facility | | $3.43 | $3.43 | $3.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $3.75 / $4.80
| Professional | | $2.94 | $3.75 | $4.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.85 / $11.06 / $73.45
| Facility | | $2.85 | $11.06 | $73.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $2.85 / $2.85
| Professional | | $2.82 | $2.85 | $2.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.09 / $10.21 / $58.93
| Facility | | $5.09 | $10.21 | $58.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $4.96 / $8.80
| Professional | | $3.36 | $4.96 | $8.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $2.75 / $6.49
| Professional | | $2.16 | $2.75 | $6.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.91 / $4.91 / $11.62
| Facility | | $4.91 | $4.91 | $11.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $4.09 / $5.13
| Professional | | $2.85 | $4.09 | $5.13 |