- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $9.33 / $93.33
| Facility | | $3.89 | $9.33 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $3.63 / $17.78
| Professional | | $2.88 | $3.63 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $10.23
| Facility | | $3.89 | $3.89 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.95 / $2.04 / $9.33
| Professional | | $1.95 | $2.04 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.34 / $3.89 / $3.89
| Facility | | $2.34 | $3.89 | $3.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.88 / $3.89 / $3.89
| Professional | | $2.88 | $3.89 | $3.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $9.77 / $41.69
| Facility | | $2.95 | $9.77 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.62 / $28.18
| Professional | | $3.16 | $5.62 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.47 / $5.13 / $14.13
| Facility | | $3.47 | $5.13 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.86 / $3.89 / $7.41
| Professional | | $1.86 | $3.89 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $3.89
| Facility | | $3.89 | $3.89 | $3.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $3.89 / $5.25
| Professional | | $3.31 | $3.89 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $8.13 / $33.88
| Facility | | $3.16 | $8.13 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $7.41 / $50,118.72
| Facility | | $4.90 | $7.41 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.34 / $3.55 / $4.90
| Facility | | $2.34 | $3.55 | $4.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.14 / $2.75 / $6.03
| Professional | | $2.14 | $2.75 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.31 / $3.89 / $9.55
| Facility | | $3.31 | $3.89 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $4.07 / $12.88
| Professional | | $3.31 | $4.07 | $12.88 |