- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.29 / $5.70 / $921.60
| Facility | | $5.29 | $5.70 | $921.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.03 / $5.29 / $5.70
| Professional | | $4.03 | $5.29 | $5.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,456.92 / $5,821.21 / $8,577.84
| Facility | | $5,456.92 | $5,821.21 | $8,577.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $16.79 / $18.00
| Professional | | $15.00 | $16.79 | $18.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $8.36 / $13.53
| Facility | | $7.00 | $8.36 | $13.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $8.30 / $13.53
| Professional | | $5.33 | $8.30 | $13.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $66.42 / $66.42
| Facility | | $9.33 | $66.42 | $66.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.53 / $6.55 / $12.00
| Facility | | $4.53 | $6.55 | $12.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $6.55 / $8.00
| Professional | | $4.40 | $6.55 | $8.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $195.75 / $195.75 / $195.75
| Facility | | $195.75 | $195.75 | $195.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.03 / $13.60 / $93.00
| Facility | | $4.03 | $13.60 | $93.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $15.35 / $26.10
| Professional | | $7.79 | $15.35 | $26.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $556.05 / $556.05 / $565.45
| Facility | | $556.05 | $556.05 | $565.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.53 / $6.55 / $11.00
| Facility | | $4.53 | $6.55 | $11.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $6.55 / $8.00
| Professional | | $4.40 | $6.55 | $8.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $7.16 / $10.79
| Professional | | $5.72 | $7.16 | $10.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $8.76 / $8.76
| Professional | | $8.76 | $8.76 | $8.76 |