- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.42 / $96.13 / $259.94
| Facility | | $11.42 | $96.13 | $259.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $5.68 / $6.51
| Professional | | $4.88 | $5.68 | $6.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.27 / $4.34 / $6.51
| Professional | | $2.27 | $4.34 | $6.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.10 / $20.18 / $38.19
| Facility | | $7.10 | $20.18 | $38.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.58 / $5.00 / $5.50
| Professional | | $3.58 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.02 / $9.69 / $76.40
| Facility | | $6.02 | $9.69 | $76.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.33 / $10.42
| Professional | | $4.88 | $6.33 | $10.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.51 / $6.51 / $6.51
| Facility | | $6.51 | $6.51 | $6.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.55 / $14.30 / $33.04
| Facility | | $4.55 | $14.30 | $33.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $6.58 / $10.94
| Professional | | $3.68 | $6.58 | $10.94 |
- 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
- $5.80 / $9.44 / $10.74
| Professional | | $5.80 | $9.44 | $10.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $6.51 / $178.88
| Facility | | $5.39 | $6.51 | $178.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.86 / $6.51 / $9.11
| Professional | | $5.86 | $6.51 | $9.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.36 / $90.97 / $1,088.56
| Facility | | $67.36 | $90.97 | $1,088.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.22 / $6.51 / $16.22
| Facility | | $5.22 | $6.51 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $6.51 / $10.69
| Professional | | $3.68 | $6.51 | $10.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.73 / $3.73 / $5.32
| Professional | | $2.73 | $3.73 | $5.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.22 / $3.22 / $6.51
| Professional | | $3.22 | $3.22 | $6.51 |