- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $6.92 / $45.71
| Facility | | $2.63 | $6.92 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.00 / $2.51 / $7.24
| Professional | | $2.00 | $2.51 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $2.40
| Professional | | $2.40 | $2.40 | $2.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $2.45 / $2.57
| Facility | | $2.45 | $2.45 | $2.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.45 / $2.45 / $2.45
| Professional | | $2.45 | $2.45 | $2.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.24 / $2.24 / $85.11
| Facility | | $2.24 | $2.24 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $12.02
| Professional | | $2.40 | $2.40 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.45 / $3.16 / $8.91
| Facility | | $2.45 | $3.16 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $2.82 / $3.80
| Professional | | $2.82 | $2.82 | $3.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $2.51
| Facility | | $2.40 | $2.40 | $2.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $2.51
| Professional | | $2.40 | $2.40 | $2.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.75 / $6.61 / $9.55
| Facility | | $2.75 | $6.61 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $50,118.72 / $75,857.76
| Facility | | $3.16 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.29 / $2.40 / $3.98
| Professional | | $2.29 | $2.40 | $3.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.40 / $2.40 / $2.82
| Facility | | $2.40 | $2.40 | $2.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.10 / $2.40 / $2.88
| Professional | | $1.10 | $2.40 | $2.88 |