- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $58.88 / $144.54
| Facility | | $22.91 | $58.88 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.02 / $46.77
| Professional | | $10.00 | $12.02 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $19.05 / $100.00
| Facility | | $12.30 | $19.05 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $13.49 / $28.84
| Professional | | $8.13 | $13.49 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $33.88 / $53.70
| Facility | | $26.92 | $33.88 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $16.98
| Professional | | $12.88 | $12.88 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $21.88 / $52.48
| Facility | | $10.72 | $21.88 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $16.60 / $22.91
| Professional | | $10.00 | $16.60 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $3,630.78 / $9,772.37
| Facility | | $15.85 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $19.50 / $22.91
| Professional | | $19.50 | $19.50 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $41.69
| Professional | | $13.49 | $13.49 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $20.42 / $128.82
| Facility | | $16.22 | $20.42 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $19.05 / $100.00
| Facility | | $12.30 | $19.05 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $13.49 / $28.84
| Professional | | $8.13 | $13.49 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $15.49 / $31.62
| Facility | | $12.02 | $15.49 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $14.13 / $20.42
| Professional | | $12.02 | $14.13 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $13.49 / $22.39
| Facility | | $6.76 | $13.49 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $11.48 / $32.36
| Professional | | $6.76 | $11.48 | $32.36 |