- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.45 / $42.77 / $75.31
| Facility | | $4.45 | $42.77 | $75.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $4.54 / $7.14
| Professional | | $2.37 | $4.54 | $7.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.44 / $3.68 / $7.48
| Professional | | $3.44 | $3.68 | $7.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.06 / $22.08 / $22.08
| Facility | | $11.06 | $22.08 | $22.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $3.45 / $3.45
| Professional | | $3.45 | $3.45 | $3.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $5.61 / $14.23
| Facility | | $3.62 | $5.61 | $14.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $5.58 / $7.23
| Professional | | $3.33 | $5.58 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.09 / $4.61 / $10.36
| Facility | | $4.09 | $4.61 | $10.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.58 / $10.00
| Professional | | $5.13 | $7.58 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,443.92 / $2,568.00 / $17,237.43
| Facility | | $2,443.92 | $2,568.00 | $17,237.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $3.70 / $7.22
| Professional | | $2.65 | $3.70 | $7.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.00 / $60.00 / $100.00
| Facility | | $19.00 | $60.00 | $100.00 |