- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.19 / $7.58 / $9.85
| Facility | | $3.19 | $7.58 | $9.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $3.22 / $6.45
| Professional | | $3.19 | $3.22 | $6.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.70 / $3.17 / $310.82
| Facility | | $2.70 | $3.17 | $310.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.94 / $3.46 / $8,459.92
| Facility | | $2.94 | $3.46 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $3.31 / $3.31
| Professional | | $3.31 | $3.31 | $3.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.01 / $3.19 / $4.88
| Facility | | $3.01 | $3.19 | $4.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $3.19 / $5.21
| Professional | | $3.19 | $3.19 | $5.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.77 / $3.01
| Professional | | $2.34 | $2.77 | $3.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.70 / $3.08 / $298.43
| Facility | | $2.70 | $3.08 | $298.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.27 / $7.18 / $9.85
| Facility | | $3.27 | $7.18 | $9.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $3.40 / $9.85
| Professional | | $3.19 | $3.40 | $9.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.01 / $3.19 / $4.88
| Facility | | $3.01 | $3.19 | $4.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $3.19 / $5.21
| Professional | | $2.54 | $3.19 | $5.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $8.44 / $9.78
| Facility | | $8.44 | $8.44 | $9.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $8.44 / $9.78
| Professional | | $8.44 | $8.44 | $9.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $3.24 / $3.24
| Facility | | $3.24 | $3.24 | $3.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.28 / $3.19 / $4.01
| Professional | | $1.28 | $3.19 | $4.01 |