- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $7.68 / $70.34
| Facility | | $1.98 | $7.68 | $70.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.20 / $7.68 / $8.07
| Professional | | $2.20 | $7.68 | $8.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $23.84 / $50.12
| Facility | | $10.19 | $23.84 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.14 / $18.14 / $18.14
| Professional | | $18.14 | $18.14 | $18.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.44 / $5.44 / $80.00
| Facility | | $5.44 | $5.44 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.25 / $7.68 / $7.68
| Facility | | $7.25 | $7.68 | $7.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.68 / $7.68 / $7.97
| Professional | | $7.68 | $7.68 | $7.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $974.99 / $974.99
| Facility | | $75.00 | $974.99 | $974.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $236.00 / $397.52 / $413.42
| Professional | | $236.00 | $397.52 | $413.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.96 / $9.69 / $73.73
| Facility | | $1.96 | $9.69 | $73.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.68 / $7.83 / $12.67
| Professional | | $7.68 | $7.83 | $12.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $8.44 / $20.39
| Professional | | $5.71 | $8.44 | $20.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.68 / $9.16 / $73.73
| Facility | | $7.68 | $9.16 | $73.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.68 / $7.68 / $10.14
| Professional | | $7.68 | $7.68 | $10.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.68 / $8.14 / $25.75
| Professional | | $7.68 | $8.14 | $25.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.96 / $7.68 / $10.75
| Professional | | $1.96 | $7.68 | $10.75 |