- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $84.56 / $429.68
| Facility | | $8.44 | $84.56 | $429.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $4.57 / $6.14
| Professional | | $3.17 | $4.57 | $6.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $3.42 / $3.93
| Professional | | $1.79 | $3.42 | $3.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.58 / $15.89 / $29.95
| Facility | | $5.58 | $15.89 | $29.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $5.00 / $5.50
| Professional | | $2.82 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.73 / $7.57 / $69.50
| Facility | | $4.73 | $7.57 | $69.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.84 / $5.00 / $8.19
| Professional | | $3.84 | $5.00 | $8.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.12 / $5.63 / $5.63
| Facility | | $5.12 | $5.63 | $5.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.58 / $11.17 / $26.43
| Facility | | $3.58 | $11.17 | $26.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $5.01 / $9.05
| Professional | | $2.94 | $5.01 | $9.05 |
- 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
- $4.61 / $7.55 / $8.58
| Professional | | $4.61 | $7.55 | $8.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.24 / $5.12 / $104.25
| Facility | | $4.24 | $5.12 | $104.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.61 / $5.12 / $9.27
| Professional | | $4.61 | $5.12 | $9.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.96 / $336.56 / $950.35
| Facility | | $245.96 | $336.56 | $950.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.09 / $5.12 / $12.77
| Facility | | $4.09 | $5.12 | $12.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $5.01 / $8.36
| Professional | | $2.94 | $5.01 | $8.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.15 / $2.93 / $4.24
| Professional | | $2.15 | $2.93 | $4.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $2.52 / $5.12
| Professional | | $2.52 | $2.52 | $5.12 |