- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $70.79 / $234.42
| Facility | | $1.95 | $70.79 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.29 / $10.00 / $107.15
| Professional | | $1.29 | $10.00 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $36.31 / $64.57
| Professional | | $30.90 | $36.31 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.78 / $2.40 / $57.54
| Facility | | $1.78 | $2.40 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.35 / $0.36 / $19.95
| Professional | | $0.35 | $0.36 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.34 / $0.34 / $0.34
| Facility | | $0.34 | $0.34 | $0.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.34 / $0.34 / $2.29
| Professional | | $0.34 | $0.34 | $2.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $154.88 / $154.88 / $154.88
| Professional | | $154.88 | $154.88 | $154.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.35 / $1.55 / $34.67
| Facility | | $0.35 | $1.55 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $22,908.68 / $40,738.03
| Facility | | $22,908.68 | $22,908.68 | $40,738.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.50 / $0.60 / $30.20
| Professional | | $0.50 | $0.60 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.62 / $0.83 / $0.93
| Facility | | $0.62 | $0.83 | $0.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.35 / $0.37 / $0.52
| Professional | | $0.35 | $0.37 | $0.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $100.00
| Facility | | $100.00 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $501.19 / $512.86 / $512.86
| Professional | | $501.19 | $512.86 | $512.86 |