- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $57.05 / $159.12
| Facility | | $9.02 | $57.05 | $159.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.51 / $6.80
| Professional | | $3.63 | $4.51 | $6.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.81 / $3.11 / $5.18
| Professional | | $1.81 | $3.11 | $5.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.70 / $16.27 / $30.56
| Facility | | $5.70 | $16.27 | $30.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $5.00 / $5.50
| Professional | | $2.85 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $8.02 / $68.47
| Facility | | $4.79 | $8.02 | $68.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.18 / $8.34
| Professional | | $3.89 | $5.18 | $8.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $5.18
| Facility | | $5.13 | $5.13 | $5.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.05 / $11.39 / $26.43
| Facility | | $4.05 | $11.39 | $26.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $5.76 / $9.05
| Professional | | $2.94 | $5.76 | $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
- $4.65 / $6.60 / $9.19
| Professional | | $4.65 | $6.60 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.15 / $5.18 / $57.80
| Facility | | $4.15 | $5.18 | $57.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $5.18 / $11.66
| Professional | | $4.88 | $5.18 | $11.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.36 / $89.43 / $270.41
| Facility | | $65.36 | $89.43 | $270.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.15 / $5.18 / $12.98
| Facility | | $4.15 | $5.18 | $12.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.33 / $8.36
| Professional | | $3.16 | $5.33 | $8.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.98 / $4.22
| Professional | | $2.18 | $2.98 | $4.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $2.56 / $5.18
| Professional | | $2.56 | $2.56 | $5.18 |