- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.52 / $7.99 / $561.37
| Facility | | $3.52 | $7.99 | $561.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $3.66 / $9.07
| Professional | | $3.52 | $3.66 | $9.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $2.82 / $3.52
| Facility | | $2.82 | $2.82 | $3.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $3.52 / $13.58
| Professional | | $3.52 | $3.52 | $13.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.28 / $9.28 / $9.75
| Facility | | $9.28 | $9.28 | $9.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $9.28 / $9.28
| Professional | | $9.28 | $9.28 | $9.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.32 / $3.32 / $10.70
| Facility | | $3.32 | $3.32 | $10.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $3.52 / $3.52
| Professional | | $3.52 | $3.52 | $3.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.32 / $4.98 / $332.00
| Facility | | $3.32 | $4.98 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.82 / $3.82 / $9.23
| Professional | | $3.82 | $3.82 | $9.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.52 / $3.52 / $3.66
| Facility | | $3.52 | $3.52 | $3.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $3.52 / $3.66
| Professional | | $3.52 | $3.52 | $3.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.87 / $10.56 / $12.18
| Facility | | $1.87 | $10.56 | $12.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.32 / $3.32 / $555.00
| Facility | | $3.32 | $3.32 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $6.00 / $10.50
| Professional | | $3.52 | $6.00 | $10.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $3.52 / $6.56
| Professional | | $3.52 | $3.52 | $6.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.66 / $3.66 / $3.66
| Facility | | $3.66 | $3.66 | $3.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.52 / $5.75
| Professional | | $2.00 | $3.52 | $5.75 |