- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.56 / $271.44 / $986.26
| Facility | | $13.56 | $271.44 | $986.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.08 / $69.92 / $177.45
| Professional | | $9.08 | $69.92 | $177.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $9.08 / $134.53
| Facility | | $4.76 | $9.08 | $134.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.13 / $5.22 / $12.71
| Professional | | $3.13 | $5.22 | $12.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $14.74 / $25.78
| Facility | | $9.26 | $14.74 | $25.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.91 / $4.91 / $6.53
| Professional | | $4.91 | $4.91 | $6.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.65 / $7.74 / $17.82
| Facility | | $3.65 | $7.74 | $17.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.78 / $9.03
| Professional | | $3.12 | $5.78 | $9.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.38 / $3,472.00 / $9,239.00
| Facility | | $16.38 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $7.47 / $8.77
| Professional | | $7.47 | $7.47 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.22 / $7.23 / $19.43
| Professional | | $5.22 | $7.23 | $19.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.36 / $33.20 / $190.40
| Facility | | $6.36 | $33.20 | $190.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.08 / $134.53 / $134.53
| Facility | | $9.08 | $134.53 | $134.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.50 / $11.01
| Professional | | $2.50 | $3.50 | $11.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.32 / $5.93 / $8.51
| Facility | | $5.32 | $5.93 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $5.39 / $6.61
| Professional | | $4.59 | $5.39 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $3.50 / $11.01
| Professional | | $2.35 | $3.50 | $11.01 |