- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.15 / $55.30 / $136.66
| Facility | | $8.15 | $55.30 | $136.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.45 / $4.67 / $9.18
| Professional | | $3.45 | $4.67 | $9.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $3.44 / $4.63
| Professional | | $2.58 | $3.44 | $4.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.65 / $12.45 / $293.00
| Facility | | $5.65 | $12.45 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.54 / $4.05 / $10.57
| Professional | | $2.54 | $4.05 | $10.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.99 / $45.50 / $90.65
| Facility | | $12.99 | $45.50 | $90.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.20 / $4.57 / $24.77
| Professional | | $3.20 | $4.57 | $24.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.57 / $6.77 / $17.25
| Facility | | $3.57 | $6.77 | $17.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $6.20 / $9.03
| Professional | | $3.40 | $6.20 | $9.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $5.16 / $8.26
| Professional | | $4.09 | $5.16 | $8.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.55 / $50.55 / $50.55
| Professional | | $50.55 | $50.55 | $50.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $5.16 / $11.69
| Professional | | $4.13 | $5.16 | $11.69 |
- 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
- $4.63 / $6.23 / $9.94
| Professional | | $4.63 | $6.23 | $9.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $3.09 / $3.09
| Professional | | $3.09 | $3.09 | $3.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $5.96 / $14.02
| Facility | | $4.26 | $5.96 | $14.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.48 / $5.16 / $10.32
| Professional | | $3.48 | $5.16 | $10.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.11 / $18.11 / $18.11
| Professional | | $18.11 | $18.11 | $18.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $5.16 / $7.22
| Professional | | $4.13 | $5.16 | $7.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $3.10 / $10.30
| Professional | | $2.17 | $3.10 | $10.30 |