- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.16 / $58.53 / $118.44
| Facility | | $8.16 | $58.53 | $118.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.98 / $9.27 / $10.74
| Professional | | $6.98 | $9.27 | $10.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $6.44 / $7.46
| Professional | | $5.16 | $6.44 | $7.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.43 / $35.54 / $64.33
| Facility | | $13.43 | $35.54 | $64.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.69 / $9.56
| Professional | | $5.00 | $5.69 | $9.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $17.18 / $65.89
| Facility | | $10.74 | $17.18 | $65.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $10.33 / $16.11
| Professional | | $8.06 | $10.33 | $16.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $11.28 / $11.28
| Facility | | $10.74 | $11.28 | $11.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $23.59 / $54.22
| Facility | | $7.51 | $23.59 | $54.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $7.79 / $18.05
| Professional | | $5.69 | $7.79 | $18.05 |
- 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
- $9.59 / $15.59 / $17.71
| Professional | | $9.59 | $15.59 | $17.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.59 / $10.74 / $19.51
| Facility | | $8.59 | $10.74 | $19.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $10.74 / $13.99
| Professional | | $9.67 | $10.74 | $13.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $188.64 / $258.18 / $702.21
| Facility | | $188.64 | $258.18 | $702.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.59 / $10.74 / $26.77
| Facility | | $8.59 | $10.74 | $26.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $8.27 / $15.51
| Professional | | $5.69 | $8.27 | $15.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.15 / $8.77
| Professional | | $4.51 | $6.15 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.19 / $5.30 / $10.74
| Professional | | $4.19 | $5.30 | $10.74 |