- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.91 / $18.72 / $53.20
| Facility | | $7.91 | $18.72 | $53.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $3.47 / $5.73
| Professional | | $2.17 | $3.47 | $5.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $2.37 / $3.95
| Professional | | $2.37 | $2.37 | $3.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $5.19 / $84.49
| Facility | | $1.98 | $5.19 | $84.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.89 / $25.83 / $8,639.91
| Facility | | $19.89 | $25.83 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.08 / $3.08 / $12.41
| Professional | | $3.08 | $3.08 | $12.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.60 / $5.27 / $13.04
| Facility | | $2.60 | $5.27 | $13.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $4.59 / $6.77
| Professional | | $2.49 | $4.59 | $6.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $3.16 / $5.35
| Professional | | $1.82 | $3.16 | $5.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.53 / $9.91 / $23.51
| Facility | | $5.53 | $9.91 | $23.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $3.31 / $4.00
| Professional | | $2.37 | $3.31 | $4.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $4.74 / $53.75
| Facility | | $1.98 | $4.74 | $53.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.58 / $16.32 / $46.64
| Facility | | $4.58 | $16.32 | $46.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $3.79 / $9.97
| Professional | | $3.12 | $3.79 | $9.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,003.93 / $1,953.58 / $2,485.41
| Facility | | $1,003.93 | $1,953.58 | $2,485.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.65 / $5.99 / $13.04
| Facility | | $2.65 | $5.99 | $13.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $4.54 / $6.77
| Professional | | $2.49 | $4.54 | $6.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $5.61 / $5.61
| Professional | | $5.61 | $5.61 | $5.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $2.52 / $6.91
| Professional | | $1.78 | $2.52 | $6.91 |