- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.88 / $96.34 / $647.78
| Facility | | $4.88 | $96.34 | $647.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $58.69 / $205.20
| Professional | | $3.22 | $58.69 | $205.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.28 / $5.03 / $1,494.82
| Facility | | $4.28 | $5.03 | $1,494.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.97 / $3.49 / $8,639.91
| Facility | | $2.97 | $3.49 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.34 / $3.34 / $3.34
| Professional | | $3.34 | $3.34 | $3.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.04 / $3.22 / $3.22
| Facility | | $3.04 | $3.22 | $3.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $3.22 / $3.22
| Professional | | $3.22 | $3.22 | $3.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.33 / $17.93 / $52.36
| Facility | | $6.33 | $17.93 | $52.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.28 / $4.88 / $1,435.20
| Facility | | $4.28 | $4.88 | $1,435.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.88 / $96.34 / $885.77
| Facility | | $4.88 | $96.34 | $885.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.25 / $28.39 / $137.97
| Professional | | $3.25 | $28.39 | $137.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.38 / $2,097.73 / $3,101.27
| Facility | | $672.38 | $2,097.73 | $3,101.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.04 / $3.22 / $3.22
| Facility | | $3.04 | $3.22 | $3.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $3.22 / $3.22
| Professional | | $3.22 | $3.22 | $3.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.60 / $3.60 / $4.18
| Facility | | $3.60 | $3.60 | $4.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $3.60 / $4.18
| Professional | | $3.60 | $3.60 | $4.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $3.45 / $5.89
| Professional | | $3.22 | $3.45 | $5.89 |