- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $56.84 / $143.96
| Facility | | $7.51 | $56.84 | $143.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $4.46 / $6.02
| Professional | | $3.02 | $4.46 | $6.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $3.01 / $3.48
| Professional | | $1.40 | $3.01 | $3.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.52 / $15.76 / $28.97
| Facility | | $5.52 | $15.76 | $28.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.76 / $4.92 / $5.50
| Professional | | $2.76 | $4.92 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $8.27 / $52.69
| Facility | | $4.76 | $8.27 | $52.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $5.01 / $8.52
| Professional | | $3.77 | $5.01 | $8.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $5.27 / $5.27
| Facility | | $5.01 | $5.27 | $5.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.51 / $10.95 / $22.65
| Facility | | $3.51 | $10.95 | $22.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $5.07 / $10.74
| Professional | | $2.66 | $5.07 | $10.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.46 / $8.58
| Professional | | $4.51 | $6.46 | $8.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.01 / $5.01 / $37.79
| Facility | | $4.01 | $5.01 | $37.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $5.01 / $7.60
| Professional | | $4.51 | $5.01 | $7.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $678.39 / $1,142.02 / $2,838.00
| Facility | | $678.39 | $1,142.02 | $2,838.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.05 / $5.01 / $12.51
| Facility | | $4.05 | $5.01 | $12.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $5.01 / $7.24
| Professional | | $2.66 | $5.01 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $2.87 / $4.09
| Professional | | $2.11 | $2.87 | $4.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $2.48 / $5.01
| Professional | | $2.48 | $2.48 | $5.01 |