- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.31 / $154.86 / $391.59
| Facility | | $14.31 | $154.86 | $391.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $6.52 / $8.17
| Professional | | $4.40 | $6.52 | $8.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $4.90 / $8.17
| Professional | | $2.86 | $4.90 | $8.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.82 / $25.23 / $47.93
| Facility | | $8.82 | $25.23 | $47.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.49 / $5.00 / $6.20
| Professional | | $4.49 | $5.00 | $6.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.55 / $12.66 / $107.96
| Facility | | $7.55 | $12.66 | $107.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $8.17 / $13.07
| Professional | | $6.13 | $8.17 | $13.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.17 / $8.17 / $8.17
| Facility | | $8.17 | $8.17 | $8.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.71 / $17.84 / $37.29
| Facility | | $5.71 | $17.84 | $37.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $6.28 / $13.68
| Professional | | $4.33 | $6.28 | $13.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.62 / $65.64 / $65.64
| Facility | | $51.62 | $65.64 | $65.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $10.18 / $14.44
| Professional | | $7.19 | $10.18 | $14.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.54 / $8.17 / $266.00
| Facility | | $6.54 | $8.17 | $266.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $8.17 / $13.17
| Professional | | $7.35 | $8.17 | $13.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $646.29 / $1,528.00 / $2,580.96
| Facility | | $646.29 | $1,528.00 | $2,580.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $8.17 / $20.28
| Facility | | $6.50 | $8.17 | $20.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $6.36 / $11.80
| Professional | | $4.33 | $6.36 | $11.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.86 / $6.04 / $10.21
| Facility | | $2.86 | $6.04 | $10.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $4.67 / $6.94
| Professional | | $3.43 | $4.67 | $6.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $4.04 / $8.17
| Professional | | $3.19 | $4.04 | $8.17 |