- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $12.90 / $83.10
| Facility | | $3.08 | $12.90 | $83.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.48 / $7.46
| Professional | | $1.81 | $2.48 | $7.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $2.33 / $781.26
| Facility | | $1.98 | $2.33 | $781.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.67 / $1.96 / $8,639.91
| Facility | | $1.67 | $1.96 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.88 / $1.88 / $1.88
| Professional | | $1.88 | $1.88 | $1.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.71 / $1.81 / $1.81
| Facility | | $1.71 | $1.81 | $1.81 |
- 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
- $4.97 / $12.07 / $54.11
| Facility | | $4.97 | $12.07 | $54.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.98 / $2.25 / $750.10
| Facility | | $1.98 | $2.25 | $750.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.65 / $9.91 / $72.48
| Facility | | $2.65 | $9.91 | $72.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $2.60 / $6.17
| Professional | | $1.81 | $2.60 | $6.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $776.71 / $13,889.93 / $17,470.20
| Facility | | $776.71 | $13,889.93 | $17,470.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.71 / $1.81 / $1.81
| Facility | | $1.71 | $1.81 | $1.81 |
- 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
- $1.75 / $1.75 / $2.02
| Facility | | $1.75 | $1.75 | $2.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $1.75 / $2.02
| Professional | | $1.75 | $1.75 | $2.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $1.81 / $3.31
| Professional | | $1.81 | $1.81 | $3.31 |