- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $34.26 / $81.33
| Facility | | $8.32 | $34.26 | $81.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $7.14 / $14.08
| Professional | | $5.51 | $7.14 | $14.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $4.72 / $4.72
| Professional | | $4.72 | $4.72 | $4.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $18.98 / $293.00
| Facility | | $8.61 | $18.98 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $6.21 / $18.36
| Professional | | $3.89 | $6.21 | $18.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.38 / $61.44 / $103.60
| Facility | | $20.38 | $61.44 | $103.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.97 / $37.78
| Professional | | $4.88 | $6.97 | $37.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.46 / $10.34 / $26.37
| Facility | | $5.46 | $10.34 | $26.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $9.50 / $13.85
| Professional | | $5.09 | $9.50 | $13.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $7.87 / $12.59
| Professional | | $7.00 | $7.87 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $7.87 / $17.16
| Professional | | $6.30 | $7.87 | $17.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $4.72 / $4.72
| Professional | | $4.72 | $4.72 | $4.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.53 / $9.43 / $24.27
| Facility | | $6.53 | $9.43 | $24.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $7.87 / $15.74
| Professional | | $5.33 | $7.87 | $15.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.62 / $27.62 / $27.62
| Professional | | $27.62 | $27.62 | $27.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $7.87 / $11.02
| Professional | | $6.30 | $7.87 | $11.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.54 / $5.41 / $5.82
| Facility | | $3.54 | $5.41 | $5.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $4.72 / $15.12
| Professional | | $3.31 | $4.72 | $15.12 |