- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.56 / $9.09 / $43.80
| Facility | | $3.56 | $9.09 | $43.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $1.84 / $6.63
| Professional | | $1.82 | $1.84 | $6.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.91 / $2.24 / $849.94
| Facility | | $1.91 | $2.24 | $849.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.67 / $1.97 / $8,639.91
| Facility | | $1.67 | $1.97 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.89 / $1.89 / $1.89
| Professional | | $1.89 | $1.89 | $1.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.71 / $1.82 / $1.82
| Facility | | $1.71 | $1.82 | $1.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $1.82 / $1.82
| Professional | | $1.82 | $1.82 | $1.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.35 / $3.70 / $20.00
| Facility | | $1.35 | $3.70 | $20.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.91 / $2.18 / $816.04
| Facility | | $1.91 | $2.18 | $816.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.04 / $8.51 / $41.25
| Facility | | $3.04 | $8.51 | $41.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.80 / $1.89 / $5.44
| Professional | | $1.80 | $1.89 | $5.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.71 / $1.82 / $1.82
| Facility | | $1.71 | $1.82 | $1.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $1.82 / $1.82
| Professional | | $1.82 | $1.82 | $1.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.80 / $2.80 / $3.25
| Facility | | $2.80 | $2.80 | $3.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $2.80 / $3.25
| Professional | | $2.80 | $2.80 | $3.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.82 / $1.82 / $3.33
| Professional | | $1.82 | $1.82 | $3.33 |