- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.02 / $66.25 / $223.02
| Facility | | $17.02 | $66.25 | $223.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.18 / $12.97 / $14.57
| Professional | | $9.18 | $12.97 | $14.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $8.74 / $10.11
| Professional | | $6.99 | $8.74 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.03 / $45.75 / $85.27
| Facility | | $16.03 | $45.75 | $85.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.72 / $14.28
| Professional | | $5.00 | $7.72 | $14.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.00 / $16.76 / $26.95
| Facility | | $14.00 | $16.76 | $26.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.93 / $14.58 / $21.86
| Professional | | $10.93 | $14.58 | $21.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.57 / $20.39 / $20.39
| Facility | | $14.57 | $20.39 | $20.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $32.01 / $74.04
| Facility | | $10.18 | $32.01 | $74.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $10.65 / $24.62
| Professional | | $7.72 | $10.65 | $24.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $69.56 / $100.00
| Facility | | $50.00 | $69.56 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $14.57 / $28.17
| Facility | | $11.66 | $14.57 | $28.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.38 / $14.57 / $20.22
| Professional | | $12.38 | $14.57 | $20.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,075.82 / $1,528.00 / $2,660.29
| Facility | | $1,075.82 | $1,528.00 | $2,660.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $14.57 / $36.31
| Facility | | $11.66 | $14.57 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $11.22 / $21.05
| Professional | | $7.72 | $11.22 | $21.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $8.55 / $12.60
| Professional | | $6.12 | $8.55 | $12.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $7.20 / $14.57
| Professional | | $5.68 | $7.20 | $14.57 |