- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $105.84 / $277.50
| Facility | | $21.38 | $105.84 | $277.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $12.48 / $83.27
| Professional | | $10.06 | $12.48 | $83.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.23 / $8.11 / $9.41
| Professional | | $6.23 | $8.11 | $9.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.84 / $32.65 / $293.00
| Facility | | $14.84 | $32.65 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.69 / $10.67 / $31.53
| Professional | | $6.69 | $10.67 | $31.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.07 / $83.10 / $176.05
| Facility | | $35.07 | $83.10 | $176.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $12.00 / $64.98
| Professional | | $8.40 | $12.00 | $64.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.38 / $17.78 / $45.32
| Facility | | $9.38 | $17.78 | $45.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $16.52 / $24.09
| Professional | | $8.91 | $16.52 | $24.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.04 / $13.54 / $21.66
| Professional | | $12.04 | $13.54 | $21.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $13.54 / $30.20
| Professional | | $10.83 | $13.54 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.27 / $71.55 / $71.55
| Facility | | $56.27 | $71.55 | $71.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.12 / $8.12 / $8.12
| Professional | | $8.12 | $8.12 | $8.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.25 / $16.25 / $45.12
| Facility | | $11.25 | $16.25 | $45.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $13.54 / $27.08
| Professional | | $9.03 | $13.54 | $27.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.52 / $47.52 / $47.52
| Professional | | $47.52 | $47.52 | $47.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $13.54 / $18.96
| Professional | | $10.83 | $13.54 | $18.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $8.11 / $26.01
| Professional | | $5.69 | $8.11 | $26.01 |