- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.58 / $3.30 / $87.84
| Facility | | $1.58 | $3.30 | $87.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $1.86 / $5.49
| Professional | | $1.78 | $1.86 | $5.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.33 / $1.33 / $1.33
| Professional | | $1.33 | $1.33 | $1.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.72 / $2.02 / $8,459.92
| Facility | | $1.72 | $2.02 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $1.93 / $1.93
| Professional | | $1.93 | $1.93 | $1.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.75 / $1.86 / $1.86
| Facility | | $1.75 | $1.86 | $1.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $1.86 / $1.86
| Professional | | $1.86 | $1.86 | $1.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $2.02 / $2.78
| Professional | | $1.93 | $2.02 | $2.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.50 / $30.69 / $277.91
| Facility | | $13.50 | $30.69 | $277.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.35 / $3.30 / $87.84
| Facility | | $1.35 | $3.30 | $87.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.35 / $1.86 / $5.49
| Professional | | $1.35 | $1.86 | $5.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $5.90 / $27.40
| Professional | | $3.20 | $5.90 | $27.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.75 / $1.86 / $1.86
| Facility | | $1.75 | $1.86 | $1.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $1.86 / $1.93
| Professional | | $1.86 | $1.86 | $1.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.72 / $1.72 / $1.99
| Facility | | $1.72 | $1.72 | $1.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.72 / $1.72 / $1.99
| Professional | | $1.72 | $1.72 | $1.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $1.97 / $3.40
| Professional | | $1.86 | $1.97 | $3.40 |