- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $8.67 / $628.48
| Facility | | $2.37 | $8.67 | $628.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $2.39 / $2.94
| Professional | | $1.70 | $2.39 | $2.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.93 / $1.93 / $1.93
| Professional | | $1.93 | $1.93 | $1.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.42 / $2.63 / $6,948.22
| Facility | | $2.42 | $2.63 | $6,948.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.80 / $0.80 / $0.80
| Professional | | $0.80 | $0.80 | $0.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,467.28 / $11,467.28 / $11,467.28
| Facility | | $11,467.28 | $11,467.28 | $11,467.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.88 / $0.88 / $4.30
| Facility | | $0.88 | $0.88 | $4.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.75 / $0.75 / $0.75
| Professional | | $0.75 | $0.75 | $0.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.78 / $90.00 / $90.00
| Facility | | $5.78 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.74 / $25.43 / $25.73
| Professional | | $24.74 | $25.43 | $25.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.37 / $3.81 / $5.96
| Facility | | $2.37 | $3.81 | $5.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $2.75 / $2.75
| Professional | | $2.75 | $2.75 | $2.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $10.56 / $17.82
| Professional | | $2.29 | $10.56 | $17.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $3.82 / $5.91
| Facility | | $2.40 | $3.82 | $5.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.75 / $0.75 / $0.75
| Professional | | $0.75 | $0.75 | $0.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.63 / $1.93 / $3.43
| Professional | | $1.63 | $1.93 | $3.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.78 / $2.78 / $3.75
| Professional | | $2.78 | $2.78 | $3.75 |