- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $77.64 / $180.36
| Facility | | $12.25 | $77.64 | $180.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.31 / $5.87 / $13.94
| Professional | | $5.31 | $5.87 | $13.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.98 / $3.24 / $7.42
| Professional | | $2.98 | $3.24 | $7.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.10 / $15.63 / $293.00
| Facility | | $7.10 | $15.63 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $5.11 / $15.11
| Professional | | $3.20 | $5.11 | $15.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.52 / $54.60 / $97.40
| Facility | | $16.52 | $54.60 | $97.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.74 / $12.68
| Professional | | $4.01 | $5.74 | $12.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.50 / $8.50 / $21.68
| Facility | | $4.50 | $8.50 | $21.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $7.85 / $11.23
| Professional | | $4.80 | $7.85 | $11.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $6.48 / $10.37
| Professional | | $5.73 | $6.48 | $10.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.48 / $14.13
| Professional | | $5.18 | $6.48 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $8.10 / $12.43
| Professional | | $5.83 | $8.10 | $12.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $3.89 / $3.89
| Professional | | $3.89 | $3.89 | $3.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $7.78 / $19.62
| Facility | | $5.37 | $7.78 | $19.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $7.05 / $12.96
| Professional | | $4.80 | $7.05 | $12.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.74 / $22.74 / $22.74
| Professional | | $22.74 | $22.74 | $22.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.48 / $9.07
| Professional | | $5.18 | $6.48 | $9.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.17 / $2.17 / $2.17
| Facility | | $2.17 | $2.17 | $2.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.86 / $12.45
| Professional | | $2.72 | $3.86 | $12.45 |