- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $11.48 / $208.93
| Facility | | $7.59 | $11.48 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.59 / $389.05
| Professional | | $7.08 | $7.59 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $7.94
| Facility | | $7.59 | $7.59 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $7.59
| Professional | | $7.59 | $7.59 | $7.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $8.13 / $8.51
| Facility | | $8.13 | $8.13 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $8.13 / $8.13
| Professional | | $8.13 | $8.13 | $8.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $11.22
| Facility | | $6.92 | $6.92 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $33.11
| Professional | | $7.59 | $7.59 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $9.77 / $25.12
| Facility | | $8.51 | $9.77 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $8.51 / $9.77
| Professional | | $7.24 | $8.51 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $7.76 / $8.32
| Facility | | $7.76 | $7.76 | $8.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $7.76 / $7.76
| Professional | | $7.76 | $7.76 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $50,118.72 / $75,857.76
| Facility | | $9.77 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $7.59
| Facility | | $7.59 | $7.59 | $7.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.94 / $12.30
| Professional | | $7.08 | $7.94 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $7.76 / $8.91
| Facility | | $7.76 | $7.76 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $7.76 / $9.33
| Professional | | $7.76 | $7.76 | $9.33 |