- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $16.22 / $851.14
| Facility | | $5.01 | $16.22 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $5.01 / $22.91
| Professional | | $2.34 | $5.01 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $13.18
| Facility | | $5.01 | $5.01 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $3.02 / $9.12
| Professional | | $2.04 | $3.02 | $9.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $5.01 / $5.01
| Facility | | $3.02 | $5.01 | $5.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $5.01 / $5.01
| Professional | | $3.72 | $5.01 | $5.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $12.59 / $44.67
| Facility | | $3.72 | $12.59 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.51 / $4.90 / $24.55
| Professional | | $2.51 | $4.90 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.51 / $5.01 / $13.80
| Facility | | $1.51 | $5.01 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $3.55 / $9.55
| Professional | | $2.34 | $3.55 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $2.04 / $2.04
| Facility | | $2.04 | $2.04 | $2.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $3.31 / $5.25
| Professional | | $2.04 | $3.31 | $5.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $5.62 / $8.51
| Facility | | $3.39 | $5.62 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $9.12 / $50,118.72
| Facility | | $3.98 | $9.12 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.19 / $4.57 / $6.31
| Facility | | $2.19 | $4.57 | $6.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $3.02 / $7.41
| Professional | | $2.29 | $3.02 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.04 / $2.40 / $7.76
| Facility | | $2.04 | $2.40 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.04 / $4.27 / $10.47
| Professional | | $2.04 | $4.27 | $10.47 |