- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $8.71 / $26.30
| Facility | | $3.63 | $8.71 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $4.57 / $14.13
| Professional | | $2.40 | $4.57 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $4.27 / $10.96
| Facility | | $4.27 | $4.27 | $10.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.19 / $8.51
| Professional | | $1.70 | $2.19 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.51 / $4.27 / $4.47
| Facility | | $2.51 | $4.27 | $4.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $4.27 / $4.47
| Professional | | $3.24 | $4.27 | $4.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.24 / $10.72 / $38.90
| Facility | | $3.24 | $10.72 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $5.01 / $20.42
| Professional | | $2.51 | $5.01 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $5.13 / $12.30
| Facility | | $3.02 | $5.13 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $3.39 / $7.94
| Professional | | $2.00 | $3.39 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.27 / $5.13
| Professional | | $3.02 | $4.27 | $5.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.09 / $10.72 / $26.92
| Facility | | $3.09 | $10.72 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $2.82 / $2.82
| Professional | | $2.82 | $2.82 | $2.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $7.94 / $50,118.72
| Facility | | $4.07 | $7.94 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $3.80 / $5.25
| Facility | | $2.24 | $3.80 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $2.51 / $6.31
| Professional | | $2.24 | $2.51 | $6.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.82 / $4.90 / $8.71
| Facility | | $2.82 | $4.90 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $4.27 / $7.94
| Professional | | $3.09 | $4.27 | $7.94 |