- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.10 / $39.10 / $705.60
| Facility | | $6.10 | $39.10 | $705.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $9.61 / $29.04
| Professional | | $5.05 | $9.61 | $29.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.85 / $4.80 / $5.57
| Professional | | $3.85 | $4.80 | $5.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $25.02 / $47.02
| Facility | | $8.52 | $25.02 | $47.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $5.00 / $7.46
| Professional | | $4.25 | $5.00 | $7.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $12.83 / $27.38
| Facility | | $8.02 | $12.83 | $27.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.02 / $8.02 / $13.64
| Professional | | $6.02 | $8.02 | $13.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $28.87 / $28.87
| Facility | | $8.02 | $28.87 | $28.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.60 / $17.51 / $41.00
| Facility | | $5.60 | $17.51 | $41.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $5.78 / $13.68
| Professional | | $4.25 | $5.78 | $13.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213.25 / $271.14 / $271.14
| Facility | | $213.25 | $271.14 | $271.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.02 / $8.02 / $11.93
| Facility | | $6.02 | $8.02 | $11.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $8.02 / $10.45
| Professional | | $7.22 | $8.02 | $10.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $271.29 / $271.29 / $371.27
| Facility | | $271.29 | $271.29 | $371.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.10 / $8.02 / $22.13
| Facility | | $6.10 | $8.02 | $22.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $6.18 / $11.60
| Professional | | $4.25 | $6.18 | $11.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.37 / $4.59 / $7.33
| Professional | | $3.37 | $4.59 | $7.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.13 / $3.96 / $8.02
| Professional | | $3.13 | $3.96 | $8.02 |