- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $47.86 / $147.91
| Facility | | $6.92 | $47.86 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.47 / $10.47
| Professional | | $3.02 | $4.47 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $3.02 / $6.03
| Professional | | $2.51 | $3.02 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $15.14 / $28.84
| Facility | | $5.50 | $15.14 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $3.09 / $5.50
| Professional | | $2.75 | $3.09 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $7.76 / $33.88
| Facility | | $4.68 | $7.76 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $5.01 / $7.94
| Professional | | $3.55 | $5.01 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.25 / $5.25
| Facility | | $5.01 | $5.25 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $10.23 / $25.12
| Facility | | $4.90 | $10.23 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $5.13 / $10.72
| Professional | | $2.63 | $5.13 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $60.26
| Facility | | $60.26 | $60.26 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $6.46 / $9.12
| Professional | | $4.37 | $6.46 | $9.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $9.33 / $125.89
| Facility | | $3.98 | $9.33 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.47 / $8.51
| Professional | | $3.02 | $4.47 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $4.27 / $4.27
| Professional | | $3.80 | $4.27 | $4.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $2,454.71 / $3,311.31
| Facility | | $933.25 | $2,454.71 | $3,311.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $14.79
| Facility | | $3.98 | $5.01 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $4.57 / $8.13
| Professional | | $2.75 | $4.57 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.78 / $3.02 / $5.01
| Facility | | $1.78 | $3.02 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.88 / $4.27
| Professional | | $2.09 | $2.88 | $4.27 |