- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $69.18 / $239.88
| Facility | | $10.47 | $69.18 | $239.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $20.42
| Professional | | $7.94 | $10.96 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $7.59 / $10.72
| Professional | | $6.31 | $7.59 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $39.81 / $75.86
| Facility | | $14.79 | $39.81 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.92 / $8.91
| Professional | | $5.01 | $6.92 | $8.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $19.50 / $91.20
| Facility | | $11.22 | $19.50 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.59 / $21.38
| Professional | | $8.71 | $12.59 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $12.59
| Facility | | $12.59 | $12.59 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $27.54 / $67.61
| Facility | | $12.30 | $27.54 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $8.91 / $21.38
| Professional | | $6.61 | $8.91 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.44 / $100.00 / $100.00
| Facility | | $72.44 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $12.02 / $19.05
| Professional | | $10.72 | $12.02 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $13.80 / $147.91
| Facility | | $9.55 | $13.80 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $11.22 / $19.05
| Professional | | $7.08 | $11.22 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $10.47 / $10.47
| Professional | | $9.33 | $10.47 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $478.63 / $524.81
| Facility | | $218.78 | $478.63 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $12.59 / $37.15
| Facility | | $10.00 | $12.59 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $9.12 / $21.38
| Professional | | $7.24 | $9.12 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $8.51 / $12.59
| Facility | | $4.57 | $8.51 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.41 / $11.48
| Professional | | $5.25 | $7.41 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $4.90 / $12.59
| Professional | | $4.90 | $4.90 | $12.59 |