- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $295.12 / $851.14
| Facility | | $1.82 | $295.12 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $3.89
| Professional | | $1.00 | $1.00 | $3.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $6.76 / $5,011.87
| Facility | | $5.75 | $6.76 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $6.76
| Professional | | $6.76 | $6.76 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.41
| Facility | | $1.41 | $1.41 | $1.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.41
| Professional | | $1.41 | $1.41 | $1.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.29 / $1.51 / $1.74
| Professional | | $1.29 | $1.51 | $1.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $1.41
| Facility | | $1.41 | $1.41 | $1.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.62 / $2.45 / $3.72
| Professional | | $1.62 | $2.45 | $3.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $60.26 / $64.57
| Facility | | $42.66 | $60.26 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.82 / $302.00 / $912.01
| Facility | | $1.82 | $302.00 | $912.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.00 / $1.00 / $2.29
| Professional | | $1.00 | $1.00 | $2.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154.88 / $158.49 / $371.54
| Facility | | $154.88 | $158.49 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.60 / $2.45 / $3.02
| Professional | | $0.60 | $2.45 | $3.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.71 / $1.62 / $10.72
| Facility | | $0.71 | $1.62 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.71 / $1.62 / $10.72
| Professional | | $0.71 | $1.62 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.41 / $1.41 / $3.31
| Professional | | $1.41 | $1.41 | $3.31 |