- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $38.02 / $190.55
| Facility | | $10.96 | $38.02 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.08 / $54.95
| Professional | | $6.03 | $7.08 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.37 / $8.71
| Professional | | $3.02 | $4.37 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.71 / $61.66 / $5,011.87
| Facility | | $45.71 | $61.66 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $28.18
| Professional | | $6.76 | $6.76 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $13.49 / $30.20
| Facility | | $5.75 | $13.49 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $10.00 / $15.14
| Professional | | $5.37 | $10.00 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $8.71 / $12.59
| Professional | | $4.07 | $8.71 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $8.71 / $8.71
| Facility | | $8.71 | $8.71 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $9.77 / $15.14
| Professional | | $8.51 | $9.77 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $23.44 / $77.62
| Facility | | $12.59 | $23.44 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $7.41
| Professional | | $5.25 | $5.25 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $38.90 / $213.80
| Facility | | $9.12 | $38.90 | $213.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.71 / $35.48
| Professional | | $6.03 | $8.71 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.78 / $177.83 / $251.19
| Facility | | $173.78 | $177.83 | $251.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $13.18
| Facility | | $13.18 | $13.18 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $13.18 / $18.20
| Professional | | $12.30 | $13.18 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $8.71 / $10.47
| Facility | | $5.75 | $8.71 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $5.62 / $15.14
| Professional | | $3.63 | $5.62 | $15.14 |