- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $50.12 / $501.19
| Facility | | $11.75 | $50.12 | $501.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.08 / $30.20
| Professional | | $6.03 | $7.08 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $5.01 / $10.47
| Professional | | $3.63 | $5.01 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.67 / $58.88 / $5,011.87
| Facility | | $44.67 | $58.88 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $6.61 / $28.18
| Professional | | $6.61 | $6.61 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $12.88 / $28.84
| Facility | | $5.62 | $12.88 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.55 / $14.79
| Professional | | $5.25 | $9.55 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $7.24 / $12.30
| Professional | | $3.98 | $7.24 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $8.51 / $8.51
| Facility | | $8.51 | $8.51 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $9.55 / $14.79
| Professional | | $8.32 | $9.55 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $22.91 / $75.86
| Facility | | $13.18 | $22.91 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.62 / $7.94
| Professional | | $5.13 | $5.62 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $1,047.13 / $1,778.28
| Facility | | $15.85 | $1,047.13 | $1,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $50.12 / $489.78
| Facility | | $10.00 | $50.12 | $489.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.51 / $31.62
| Professional | | $6.03 | $8.51 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $676.08 / $2,454.71 / $3,090.30
| Facility | | $676.08 | $2,454.71 | $3,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $9.77
| Facility | | $9.77 | $9.77 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $79.43
| Professional | | $9.77 | $9.77 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $8.51 / $10.23
| Facility | | $4.68 | $8.51 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $5.50 / $14.79
| Professional | | $3.55 | $5.50 | $14.79 |