- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.58 / $12.44 / $35.58
| Facility | | $4.58 | $12.44 | $35.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $5.07 / $17.18
| Professional | | $3.33 | $5.07 | $17.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.42 / $11.94 / $293.00
| Facility | | $5.42 | $11.94 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.20 / $2.80 / $4.48
| Professional | | $2.20 | $2.80 | $4.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $11.19 / $13.96
| Facility | | $3.58 | $11.19 | $13.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $16.00 / $31.33
| Professional | | $10.00 | $16.00 | $31.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.25 / $3.46 / $6.41
| Facility | | $3.25 | $3.46 | $6.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $5.25 / $7.04
| Professional | | $2.60 | $5.25 | $7.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.95 / $5.45 / $99.00
| Professional | | $4.95 | $5.45 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.96 / $4.95 / $9.00
| Professional | | $3.96 | $4.95 | $9.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $90.00 / $90.00
| Facility | | $80.00 | $90.00 | $90.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.62 / $4.65 / $7.65
| Facility | | $2.62 | $4.65 | $7.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $4.95 / $6.11
| Professional | | $2.60 | $4.95 | $6.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.23 / $11.23 / $11.23
| Professional | | $11.23 | $11.23 | $11.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.08 / $4.95 / $4.95
| Facility | | $2.08 | $4.95 | $4.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $2.57 / $9.83
| Professional | | $2.08 | $2.57 | $9.83 |