- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $13.49 / $63.10
| Facility | | $5.62 | $13.49 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $13.49
| Professional | | $3.98 | $5.01 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $14.79
| Facility | | $5.62 | $5.62 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $2.88 / $13.49
| Professional | | $2.82 | $2.88 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $5.62 / $5.62
| Facility | | $3.39 | $5.62 | $5.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $5.62 / $5.62
| Professional | | $4.17 | $5.62 | $5.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $13.49 / $60.26
| Facility | | $4.37 | $13.49 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $6.61 / $38.02
| Professional | | $3.72 | $6.61 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $7.41 / $20.42
| Facility | | $5.01 | $7.41 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $3.98 / $10.96
| Professional | | $2.63 | $3.98 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $5.25
| Facility | | $5.25 | $5.25 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.62 / $7.59
| Professional | | $5.01 | $5.62 | $7.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.89 / $14.13 / $30.90
| Facility | | $3.89 | $14.13 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $3.80 / $3.80
| Professional | | $3.80 | $3.80 | $3.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $10.72 / $50,118.72
| Facility | | $6.76 | $10.72 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.39 / $5.13 / $6.76
| Facility | | $3.39 | $5.13 | $6.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $3.39 / $8.51
| Professional | | $2.40 | $3.39 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $5.25 / $13.80
| Facility | | $4.79 | $5.25 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $5.89 / $17.78
| Professional | | $4.79 | $5.89 | $17.78 |