- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.90 / $6.96 / $10.55
| Facility | | $2.90 | $6.96 | $10.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $3.42 / $5.70
| Professional | | $2.95 | $3.42 | $5.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.60 / $203.32 / $435.31
| Facility | | $3.60 | $203.32 | $435.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.72 / $3.20 / $8,639.91
| Facility | | $2.72 | $3.20 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $3.06 / $3.06
| Professional | | $3.06 | $3.06 | $3.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.78 / $2.95 / $2.95
| Facility | | $2.78 | $2.95 | $2.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $2.95 / $2.95
| Professional | | $2.95 | $2.95 | $2.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.38 / $4.22 / $7.74
| Facility | | $1.38 | $4.22 | $7.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.60 / $4.23 / $417.95
| Facility | | $3.60 | $4.23 | $417.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $6.72 / $16.30
| Facility | | $2.50 | $6.72 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.90 / $3.44 / $7.40
| Professional | | $2.90 | $3.44 | $7.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.78 / $2.95 / $2.95
| Facility | | $2.78 | $2.95 | $2.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $2.95 / $2.95
| Professional | | $2.95 | $2.95 | $2.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.22 / $3.22 / $3.73
| Facility | | $3.22 | $3.22 | $3.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $3.22 / $3.73
| Professional | | $3.22 | $3.22 | $3.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $3.13 / $4.51
| Professional | | $2.95 | $3.13 | $4.51 |