- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $82.28 / $148.32
| Facility | | $5.50 | $82.28 | $148.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $3.36 / $6.96
| Professional | | $2.35 | $3.36 | $6.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.89 / $1.89 / $2.36
| Professional | | $1.89 | $1.89 | $2.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $12.58 / $23.54
| Facility | | $4.68 | $12.58 | $23.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $3.93 / $5.50
| Professional | | $2.08 | $3.93 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.93 / $4.51 / $7.27
| Facility | | $3.93 | $4.51 | $7.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.93 / $3.93 / $3.93
| Facility | | $3.93 | $3.93 | $3.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.74 / $8.52 / $18.10
| Facility | | $2.74 | $8.52 | $18.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $2.82 / $6.56
| Professional | | $2.08 | $2.82 | $6.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $62.00 / $62.00
| Facility | | $50.00 | $62.00 | $62.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.14 / $3.93 / $6.03
| Facility | | $3.14 | $3.93 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $3.93 / $5.12
| Professional | | $3.93 | $3.93 | $5.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $837.69 / $1,084.30 / $2,436.01
| Facility | | $837.69 | $1,084.30 | $2,436.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.14 / $3.93 / $10.83
| Facility | | $3.14 | $3.93 | $10.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.08 / $3.02 / $5.67
| Professional | | $2.08 | $3.02 | $5.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.36 / $3.21 / $4.16
| Professional | | $2.36 | $3.21 | $4.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.53 / $1.94 / $3.93
| Professional | | $1.53 | $1.94 | $3.93 |