- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.92 / $10.13 / $48.14
| Facility | | $4.92 | $10.13 | $48.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.53 / $4.23 / $5.79
| Professional | | $3.53 | $4.23 | $5.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.79 / $5.79 / $15.05
| Facility | | $5.79 | $5.79 | $15.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $3.02 / $11.24
| Professional | | $2.27 | $3.02 | $11.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $5.79 / $5.79
| Facility | | $3.47 | $5.79 | $5.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.23 / $5.79 / $5.79
| Professional | | $4.23 | $5.79 | $5.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.05 / $12.00 / $48.04
| Facility | | $4.05 | $12.00 | $48.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.84 / $27.91
| Professional | | $3.47 | $5.84 | $27.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $7.53 / $332.00
| Facility | | $3.00 | $7.53 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $3.47 / $10.60
| Professional | | $2.65 | $3.47 | $10.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.75 / $4.75 / $4.75
| Facility | | $4.75 | $4.75 | $4.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.41 / $5.31 / $6.96
| Professional | | $4.41 | $5.31 | $6.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.95 / $5.04 / $6.43
| Facility | | $3.95 | $5.04 | $6.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.19 / $14.46 / $62.80
| Facility | | $7.19 | $14.46 | $62.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.76 / $6.61 / $10.56
| Professional | | $3.76 | $6.61 | $10.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $3.47 / $7.82
| Professional | | $2.61 | $3.47 | $7.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.66 / $6.66 / $17.52
| Facility | | $6.66 | $6.66 | $17.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $6.06 / $7.02
| Professional | | $4.29 | $6.06 | $7.02 |