- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.44 / $19.37 / $41.32
| Facility | | $5.44 | $19.37 | $41.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $4.16 / $4.88
| Professional | | $2.59 | $4.16 | $4.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.44 / $2.93 / $2.93
| Professional | | $2.44 | $2.93 | $2.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.94 / $173.94 / $173.94
| Facility | | $173.94 | $173.94 | $173.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.66 / $32.02 / $8,639.91
| Facility | | $24.66 | $32.02 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.81 / $3.81 / $3.81
| Professional | | $3.81 | $3.81 | $3.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.20 / $6.49 / $16.30
| Facility | | $3.20 | $6.49 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $5.78 / $8.46
| Professional | | $3.11 | $5.78 | $8.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.24 / $3.90 / $6.61
| Professional | | $2.24 | $3.90 | $6.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.27 / $13.31 / $22.45
| Facility | | $6.27 | $13.31 | $22.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.93 / $3.72 / $4.50
| Professional | | $2.93 | $3.72 | $4.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173.94 / $173.94 / $220.37
| Facility | | $173.94 | $173.94 | $220.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $14.53 / $34.45
| Facility | | $5.00 | $14.53 | $34.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.41 / $4.42 / $20.14
| Professional | | $3.41 | $4.42 | $20.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $819.61 / $1,280.10 / $1,610.47
| Facility | | $819.61 | $1,280.10 | $1,610.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.27 / $7.43 / $16.30
| Facility | | $3.27 | $7.43 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $5.78 / $8.46
| Professional | | $3.11 | $5.78 | $8.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.96 / $6.96 / $6.96
| Professional | | $6.96 | $6.96 | $6.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.12 / $8.93
| Professional | | $2.10 | $3.12 | $8.93 |