- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $12.59 / $21.38
| Facility | | $4.57 | $12.59 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.02 / $7.94
| Professional | | $3.02 | $3.02 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $25.70 / $5,011.87
| Facility | | $19.50 | $25.70 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $3.80 / $3.80
| Professional | | $3.80 | $3.80 | $3.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $7.41 / $16.60
| Facility | | $3.24 | $7.41 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $4.79 / $7.24
| Professional | | $2.34 | $4.79 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.88 / $7.08
| Professional | | $2.29 | $2.88 | $7.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $4.79 / $4.79
| Facility | | $4.79 | $4.79 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $4.79 / $8.32
| Professional | | $3.89 | $4.79 | $8.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $29.51
| Facility | | $29.51 | $29.51 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.24 / $3.24
| Professional | | $3.24 | $3.24 | $3.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $12.02 / $21.38
| Facility | | $4.57 | $12.02 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $3.98 / $16.60
| Professional | | $3.02 | $3.98 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $3.72 / $4.79
| Facility | | $2.63 | $3.72 | $4.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.72 / $5.25
| Professional | | $2.63 | $3.72 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.51 / $4.79 / $5.75
| Facility | | $2.51 | $4.79 | $5.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $3.09 / $6.76
| Professional | | $2.04 | $3.09 | $6.76 |