- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.09 / $112.08 / $939.00
| Facility | | $5.09 | $112.08 | $939.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $3.45 / $13.36
| Professional | | $2.29 | $3.45 | $13.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $2.29 / $2.29
| Professional | | $1.84 | $2.29 | $2.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $215.43 / $753.87 / $1,468.06
| Facility | | $215.43 | $753.87 | $1,468.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $3.75 / $5.50
| Professional | | $2.02 | $3.75 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.83 / $5.55 / $391.77
| Facility | | $3.83 | $5.55 | $391.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.87 / $3.83 / $5.75
| Professional | | $2.87 | $3.83 | $5.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.83 / $241.66 / $241.66
| Facility | | $3.83 | $241.66 | $241.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.67 / $8.42 / $19.75
| Facility | | $2.67 | $8.42 | $19.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.77 / $8.18
| Professional | | $2.02 | $2.77 | $8.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.28 / $85.54 / $85.54
| Facility | | $67.28 | $85.54 | $85.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.06 / $3.83 / $5.57
| Facility | | $3.06 | $3.83 | $5.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.67 / $3.83 / $4.99
| Professional | | $3.67 | $3.83 | $4.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $804.72 / $1,311.06 / $1,362.17
| Facility | | $804.72 | $1,311.06 | $1,362.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.06 / $3.83 / $9.61
| Facility | | $3.06 | $3.83 | $9.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.95 / $5.53
| Professional | | $2.02 | $2.95 | $5.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.61 / $2.21 / $3.83
| Professional | | $1.61 | $2.21 | $3.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.49 / $1.89 / $3.83
| Professional | | $1.49 | $1.89 | $3.83 |