- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.77 / $3.54 / $1,360.63
| Facility | | $1.77 | $3.54 | $1,360.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $1.79 / $581.54
| Professional | | $1.64 | $1.79 | $581.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.31 / $1.31 / $1.64
| Facility | | $1.31 | $1.31 | $1.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $1.64 / $3.28
| Professional | | $1.64 | $1.64 | $3.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.72 / $1.72 / $1.81
| Facility | | $1.72 | $1.72 | $1.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.72 / $1.72 / $1.72
| Professional | | $1.72 | $1.72 | $1.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.54 / $1.55 / $1.64
| Facility | | $1.54 | $1.55 | $1.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $1.64 / $1.64
| Professional | | $1.64 | $1.64 | $1.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.55 / $2.33 / $332.00
| Facility | | $1.55 | $2.33 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $1.78 / $4.30
| Professional | | $1.78 | $1.78 | $4.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.64 / $1.64 / $1.70
| Facility | | $1.64 | $1.64 | $1.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $1.64 / $1.70
| Professional | | $1.64 | $1.64 | $1.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.87 / $1.87 / $1.87
| Facility | | $1.87 | $1.87 | $1.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.54 / $1.55 / $555.00
| Facility | | $1.54 | $1.55 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $1.64 / $2.50
| Professional | | $1.64 | $1.64 | $2.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $1.64 / $3.06
| Professional | | $1.64 | $1.64 | $3.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.70 / $1.70 / $1.70
| Facility | | $1.70 | $1.70 | $1.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $1.64 / $1.70
| Professional | | $1.64 | $1.64 | $1.70 |