- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $85.11 / $234.42
| Facility | | $19.05 | $85.11 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.02 / $33.88
| Professional | | $8.91 | $12.02 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $7.08 / $15.49
| Professional | | $4.57 | $7.08 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $40.74 / $77.62
| Facility | | $14.79 | $40.74 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.59 / $10.23
| Professional | | $5.01 | $7.59 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $20.42 / $107.15
| Facility | | $10.96 | $20.42 | $107.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $15.14 / $25.12
| Professional | | $10.23 | $15.14 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $13.49
| Facility | | $13.49 | $13.49 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $30.20 / $72.44
| Facility | | $13.18 | $30.20 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $13.49 / $24.55
| Professional | | $7.76 | $13.49 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $64.57 / $100.00
| Facility | | $64.57 | $64.57 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $17.38 / $25.12
| Professional | | $11.48 | $17.38 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $58.88 / $218.78
| Facility | | $10.23 | $58.88 | $218.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $12.02 / $27.54
| Professional | | $8.13 | $12.02 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $11.48 / $11.48
| Professional | | $10.23 | $11.48 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $489.78 / $501.19
| Facility | | $151.36 | $489.78 | $501.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $13.49 / $40.74
| Facility | | $10.96 | $13.49 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $11.48 / $23.44
| Professional | | $7.76 | $11.48 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $8.13 / $13.49
| Facility | | $4.79 | $8.13 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.94 / $11.75
| Professional | | $5.75 | $7.94 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $5.37 / $5.37
| Professional | | $5.37 | $5.37 | $5.37 |