- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $48.98 / $102.33
| Facility | | $1.41 | $48.98 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $6.31
| Professional | | $1.00 | $1.00 | $6.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.41
| Professional | | $1.41 | $1.41 | $1.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.45 / $1.45 / $1.51
| Facility | | $1.45 | $1.45 | $1.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.45 / $1.45 / $1.45
| Professional | | $1.45 | $1.45 | $1.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.32 / $1.32 / $85.11
| Facility | | $1.32 | $1.32 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $6.03
| Professional | | $1.41 | $1.41 | $6.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.32 / $1.70 / $3.09
| Facility | | $1.32 | $1.70 | $3.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.29 / $1.51 / $1.51
| Professional | | $1.29 | $1.51 | $1.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.48
| Facility | | $1.41 | $1.41 | $1.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.48 / $1.48
| Professional | | $1.41 | $1.48 | $1.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.62 / $1.62 / $1.95
| Facility | | $1.62 | $1.62 | $1.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $50,118.72 / $75,857.76
| Facility | | $1.82 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.55 / $1.55 / $1.55
| Professional | | $1.55 | $1.55 | $1.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $2.19
| Professional | | $1.41 | $1.41 | $2.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $2.04
| Facility | | $1.41 | $1.41 | $2.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.48 / $1.95
| Professional | | $1.41 | $1.48 | $1.95 |