- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.33 / $32.13 / $89.03
| Facility | | $7.33 | $32.13 | $89.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $8.64 / $9.51
| Professional | | $5.82 | $8.64 | $9.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $5.82 / $6.73
| Professional | | $4.66 | $5.82 | $6.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.13 / $32.15 / $57.29
| Facility | | $12.13 | $32.15 | $57.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.50 / $8.63
| Professional | | $5.00 | $5.50 | $8.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.69 / $15.52 / $53.64
| Facility | | $9.69 | $15.52 | $53.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $9.69 / $14.55
| Professional | | $7.28 | $9.69 | $14.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.69 / $13.58 / $13.58
| Facility | | $9.69 | $13.58 | $13.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.77 / $21.28 / $48.92
| Facility | | $6.77 | $21.28 | $48.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $7.04 / $16.41
| Professional | | $5.14 | $7.04 | $16.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $60.00 / $100.00
| Facility | | $55.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $9.69 / $13.44
| Facility | | $7.76 | $9.69 | $13.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.73 / $9.69 / $12.64
| Professional | | $8.73 | $9.69 | $12.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $551.90 / $714.22 / $3,232.24
| Facility | | $551.90 | $714.22 | $3,232.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $9.69 / $23.34
| Facility | | $7.76 | $9.69 | $23.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $7.45 / $14.06
| Professional | | $5.14 | $7.45 | $14.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.55 / $7.91
| Professional | | $4.07 | $5.55 | $7.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $4.79 / $9.69
| Professional | | $3.78 | $4.79 | $9.69 |