- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.77 / $6.65 / $669.24
| Facility | | $1.77 | $6.65 | $669.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $1.84 / $133.44
| Professional | | $1.75 | $1.84 | $133.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $3.42 / $3.42
| Professional | | $1.40 | $3.42 | $3.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.41 / $1.86 / $2.40
| Facility | | $1.41 | $1.86 | $2.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.75 / $13.37
| Professional | | $1.40 | $1.75 | $13.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.98 / $6.13 / $9.48
| Facility | | $5.98 | $6.13 | $9.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $2.69 / $7.22
| Professional | | $2.56 | $2.69 | $7.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.65 / $1.65 / $1.75
| Facility | | $1.65 | $1.65 | $1.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $1.75 / $2.48
| Professional | | $1.75 | $1.75 | $2.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.64 / $1.97 / $2.66
| Professional | | $1.64 | $1.97 | $2.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $2.10 / $4.03
| Professional | | $1.58 | $2.10 | $4.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $3,832.60 / $3,832.60
| Facility | | $75.00 | $3,832.60 | $3,832.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $372.00 / $535.45 / $553.08
| Professional | | $372.00 | $535.45 | $553.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.97 / $4.03 / $60.00
| Professional | | $1.97 | $4.03 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.75 / $2.24 / $153.41
| Facility | | $1.75 | $2.24 | $153.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $1.75 / $3.13
| Professional | | $1.75 | $1.75 | $3.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $4.51 / $4.51
| Professional | | $4.51 | $4.51 | $4.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $1.75 / $2.63
| Professional | | $1.40 | $1.75 | $2.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.54 / $7.95 / $7.95
| Facility | | $7.54 | $7.95 | $7.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.75 / $1.75 / $3.69
| Professional | | $1.75 | $1.75 | $3.69 |