- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.42 / $5.38 / $513.83
| Facility | | $1.42 | $5.38 | $513.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.43 / $1.80
| Professional | | $1.42 | $1.43 | $1.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.69 / $4.09 / $8.01
| Facility | | $1.69 | $4.09 | $8.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.59 / $1.59 / $1.59
| Professional | | $1.59 | $1.59 | $1.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.33 / $1.42 / $70.65
| Facility | | $1.33 | $1.42 | $70.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.04 / $22.04 / $22.04
| Facility | | $22.04 | $22.04 | $22.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.33 / $1.41 / $1.41
| Facility | | $1.33 | $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
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $100.00 / $100.00
| Facility | | $85.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.42 / $7.42 / $7.42
| Professional | | $7.42 | $7.42 | $7.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.42 / $1.54 / $4.05
| Facility | | $1.42 | $1.54 | $4.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.22 / $1.45 / $1.78
| Professional | | $1.22 | $1.45 | $1.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $396.61 / $512.26 / $1,243.20
| Facility | | $396.61 | $512.26 | $1,243.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.53 / $3.18
| Professional | | $1.42 | $1.53 | $3.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.33 / $1.42 / $3.25
| Facility | | $1.33 | $1.42 | $3.25 |
- 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
- $1.42 / $1.42 / $1.42
| Professional | | $1.42 | $1.42 | $1.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.42 / $1.46 / $1.92
| Professional | | $1.42 | $1.46 | $1.92 |