- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.81 / $11.88 / $60.95
| Facility | | $1.81 | $11.88 | $60.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.69 / $1.76 / $2.83
| Professional | | $1.69 | $1.76 | $2.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.52 / $423.39 / $906.50
| Facility | | $1.52 | $423.39 | $906.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.61 / $1.89 / $8,639.91
| Facility | | $1.61 | $1.89 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $1.81 / $1.81
| Professional | | $1.81 | $1.81 | $1.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.65 / $1.74 / $1.74
| Facility | | $1.65 | $1.74 | $1.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $1.74 / $1.74
| Professional | | $1.74 | $1.74 | $1.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.04 / $5.86 / $11.52
| Facility | | $3.04 | $5.86 | $11.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.52 / $536.40 / $906.50
| Facility | | $1.52 | $536.40 | $906.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.96 / $11.88 / $68.09
| Facility | | $1.96 | $11.88 | $68.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.65 / $1.76 / $4.99
| Professional | | $1.65 | $1.76 | $4.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.65 / $1.74 / $1.74
| Facility | | $1.65 | $1.74 | $1.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.74 / $1.74 / $1.74
| Professional | | $1.74 | $1.74 | $1.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.02 / $1.02 / $1.19
| Facility | | $1.02 | $1.02 | $1.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.02 / $1.02 / $1.19
| Professional | | $1.02 | $1.02 | $1.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $1.75 / $2.66
| Professional | | $1.75 | $1.75 | $2.66 |