- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.35 / $32.27 / $96.35
| Facility | | $6.35 | $32.27 | $96.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $3.64 / $4.96
| Professional | | $3.34 | $3.64 | $4.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.33 / $6,666.76 / $11,401.90
| Facility | | $8.33 | $6,666.76 | $11,401.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.48 / $27.90 / $8,639.91
| Facility | | $21.48 | $27.90 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $3.34 / $3.34
| Professional | | $3.34 | $3.34 | $3.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.81 / $5.70 / $14.13
| Facility | | $2.81 | $5.70 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $4.97 / $7.62
| Professional | | $2.64 | $4.97 | $7.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $3.42 / $5.80
| Professional | | $1.97 | $3.42 | $5.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $13.16 / $56.51
| Facility | | $6.76 | $13.16 | $56.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.28 / $4,241.51 / $9,081.28
| Facility | | $4.28 | $4,241.51 | $9,081.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.99 / $31.78 / $97.02
| Facility | | $5.99 | $31.78 | $97.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $3.64 / $17.68
| Professional | | $3.21 | $3.64 | $17.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.86 / $6.47 / $14.13
| Facility | | $2.86 | $6.47 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $4.97 / $7.62
| Professional | | $2.64 | $4.97 | $7.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.28 / $4.28 / $4.28
| Facility | | $4.28 | $4.28 | $4.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $4.28 / $6.06
| Professional | | $3.77 | $4.28 | $6.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $2.86 / $8.98
| Professional | | $1.93 | $2.86 | $8.98 |