- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $58.98 / $528.20
| Facility | | $4.01 | $58.98 | $528.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.77 / $54.29
| Professional | | $2.02 | $2.77 | $54.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.10 / $2.47 / $6,374.63
| Facility | | $2.10 | $2.47 | $6,374.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.86 / $2.19 / $8,639.91
| Facility | | $1.86 | $2.19 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.10 / $2.10
| Professional | | $2.10 | $2.10 | $2.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.91 / $2.02 / $2.02
| Facility | | $1.91 | $2.02 | $2.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.02 / $2.02
| Professional | | $2.02 | $2.02 | $2.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $22.89 / $41.11
| Facility | | $4.57 | $22.89 | $41.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.10 / $2.40 / $6,120.40
| Facility | | $2.10 | $2.40 | $6,120.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.36 / $60.20 / $493.50
| Facility | | $3.36 | $60.20 | $493.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.77 / $50.52
| Professional | | $2.02 | $2.77 | $50.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.91 / $2.02 / $2.02
| Facility | | $1.91 | $2.02 | $2.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.02 / $2.02
| Professional | | $2.02 | $2.02 | $2.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.09 / $2.09 / $2.43
| Facility | | $2.09 | $2.09 | $2.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $2.09 / $2.43
| Professional | | $2.09 | $2.09 | $2.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.18 / $2.18 / $2.18
| Facility | | $2.18 | $2.18 | $2.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.02 / $3.70
| Professional | | $2.02 | $2.02 | $3.70 |