- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.37 / $59.69 / $187.20
| Facility | | $10.37 | $59.69 | $187.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.07 / $11.08 / $21.06
| Professional | | $8.07 | $11.08 | $21.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $7.45 / $8.61
| Professional | | $5.96 | $7.45 | $8.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.64 / $40.14 / $71.61
| Facility | | $14.64 | $40.14 | $71.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.58 / $12.16
| Professional | | $5.00 | $6.58 | $12.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.51 / $22.96 / $86.99
| Facility | | $15.51 | $22.96 | $86.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.31 / $12.41 / $18.62
| Professional | | $9.31 | $12.41 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $13.03 / $13.03
| Facility | | $12.41 | $13.03 | $13.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.67 / $27.28 / $62.14
| Facility | | $8.67 | $27.28 | $62.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $9.02 / $20.79
| Professional | | $6.58 | $9.02 | $20.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.00 / $60.00 / $100.00
| Facility | | $58.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $17.95 / $20.39
| Professional | | $11.04 | $17.95 | $20.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.93 / $12.41 / $22.70
| Facility | | $9.93 | $12.41 | $22.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.17 / $12.41 / $17.21
| Professional | | $11.17 | $12.41 | $17.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146.22 / $200.09 / $806.29
| Facility | | $146.22 | $200.09 | $806.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.93 / $12.41 / $30.92
| Facility | | $9.93 | $12.41 | $30.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $9.53 / $17.78
| Professional | | $6.58 | $9.53 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.21 / $7.10 / $10.13
| Professional | | $5.21 | $7.10 | $10.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.13 / $12.41
| Professional | | $4.84 | $6.13 | $12.41 |