- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $58.88 / $2,754.23
| Facility | | $3.02 | $58.88 | $2,754.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $8.91 / $38.02
| Professional | | $3.98 | $8.91 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $5.75 / $14.45
| Facility | | $4.47 | $5.75 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $6.03 / $15.85
| Professional | | $6.03 | $6.03 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $19.50 / $28.84
| Facility | | $14.13 | $19.50 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $25.12 / $48.98
| Professional | | $15.85 | $25.12 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $6.92
| Professional | | $6.92 | $6.92 | $6.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $15.14 / $18.62
| Professional | | $13.80 | $15.14 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $14.13 / $31.62
| Professional | | $6.03 | $14.13 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $79.43 / $85.11
| Facility | | $79.43 | $79.43 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.61 / $102.33 / $102.33
| Professional | | $67.61 | $102.33 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $19.95
| Professional | | $19.95 | $19.95 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $13.80 / $19.50
| Facility | | $8.32 | $13.80 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $13.18
| Professional | | $6.92 | $6.92 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $25.70 / $25.70
| Professional | | $25.70 | $25.70 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.70 / $6.17 / $21.38
| Professional | | $1.70 | $6.17 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $6.17 / $13.49
| Professional | | $5.13 | $6.17 | $13.49 |