- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $61.66 / $288.40
| Facility | | $10.23 | $61.66 | $288.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $16.98
| Professional | | $7.94 | $10.96 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.32 / $13.49
| Professional | | $6.76 | $8.32 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $43.65 / $79.43
| Facility | | $14.79 | $43.65 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.41 / $10.23
| Professional | | $5.01 | $7.41 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $20.89 / $79.43
| Facility | | $12.88 | $20.89 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $14.13 / $21.88
| Professional | | $9.55 | $14.13 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $16.60 / $16.60
| Facility | | $13.49 | $16.60 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $28.84 / $72.44
| Facility | | $13.18 | $28.84 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $9.55 / $22.91
| Professional | | $7.24 | $9.55 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $109.65 / $109.65
| Facility | | $97.72 | $109.65 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $13.49 / $208.93
| Facility | | $10.23 | $13.49 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $12.02 / $20.42
| Professional | | $7.94 | $12.02 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $11.48 / $11.48
| Professional | | $10.23 | $11.48 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,630.78 / $3,630.78 / $3,630.78
| Facility | | $3,630.78 | $3,630.78 | $3,630.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $13.49 / $39.81
| Facility | | $10.72 | $13.49 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $10.00 / $22.91
| Professional | | $7.76 | $10.00 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $8.13 / $13.49
| Facility | | $4.90 | $8.13 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.94 / $11.48
| Professional | | $5.75 | $7.94 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $13.49
| Professional | | $5.25 | $5.25 | $13.49 |