- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.70 / $3.47 / $19.05
| Facility | | $1.70 | $3.47 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.95 / $1.62 / $4.68
| Professional | | $0.95 | $1.62 | $4.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $53.70 / $85.11
| Professional | | $1.00 | $53.70 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.59 / $0.69 / $5,011.87
| Facility | | $0.59 | $0.69 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.66 / $0.66 / $0.66
| Professional | | $0.66 | $0.66 | $0.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $0.65
| Facility | | $0.65 | $0.65 | $0.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $0.65
| Professional | | $0.65 | $0.65 | $0.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $0.65
| Facility | | $0.65 | $0.65 | $0.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.95 / $1.12 / $1.12
| Professional | | $0.95 | $1.12 | $1.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $7.41 / $30.20
| Facility | | $3.02 | $7.41 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.07 / $1.07 / $1.07
| Professional | | $1.07 | $1.07 | $1.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.74 / $3.72 / $22.39
| Facility | | $1.74 | $3.72 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.91 / $4.68
| Professional | | $1.00 | $1.91 | $4.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.04 / $177.83 / $436.52
| Facility | | $138.04 | $177.83 | $436.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.17 / $2.04 / $3.02
| Facility | | $1.17 | $2.04 | $3.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.17 / $1.74 / $3.02
| Professional | | $1.17 | $1.74 | $3.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.65 / $0.65 / $1.17
| Professional | | $0.65 | $0.65 | $1.17 |