- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.86 / $25.49 / $105.07
| Facility | | $4.86 | $25.49 | $105.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.37 / $3.20 / $5.08
| Professional | | $2.37 | $3.20 | $5.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.48 / $1.48 / $2.02
| Professional | | $1.48 | $1.48 | $2.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.20 / $11.21 / $22.38
| Facility | | $5.20 | $11.21 | $22.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $4.23 / $5.50
| Professional | | $2.24 | $4.23 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.81 / $6.35 / $23.27
| Facility | | $3.81 | $6.35 | $23.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.96 / $4.00 / $6.77
| Professional | | $2.96 | $4.00 | $6.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.23 / $16.63 / $16.63
| Facility | | $4.23 | $16.63 | $16.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.96 / $7.78 / $17.42
| Facility | | $2.96 | $7.78 | $17.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $3.53 / $6.56
| Professional | | $2.17 | $3.53 | $6.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $80.00
| Facility | | $60.00 | $60.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $4.23 / $8.11
| Facility | | $3.08 | $4.23 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.81 / $4.23 / $4.51
| Professional | | $3.81 | $4.23 | $4.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,465.41 / $2,322.17 / $3,018.82
| Facility | | $1,465.41 | $2,322.17 | $3,018.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.08 / $4.23 / $9.77
| Facility | | $3.08 | $4.23 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $3.54 / $4.70
| Professional | | $2.17 | $3.54 | $4.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $2.66 / $4.23
| Professional | | $2.54 | $2.66 | $4.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.69 / $1.69 / $4.23
| Professional | | $1.69 | $1.69 | $4.23 |