- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.04 / $71.28 / $202.99
| Facility | | $11.04 | $71.28 | $202.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.58 / $5.61 / $6.61
| Professional | | $3.58 | $5.61 | $6.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.78 / $3.88 / $6.47
| Professional | | $1.78 | $3.88 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.12 / $20.32 / $38.17
| Facility | | $7.12 | $20.32 | $38.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $5.00 / $5.50
| Professional | | $3.56 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.97 / $9.71 / $97.19
| Facility | | $5.97 | $9.71 | $97.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.80 / $11.00
| Professional | | $5.18 | $6.80 | $11.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $6.47
| Facility | | $6.47 | $6.47 | $6.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $14.32 / $33.04
| Facility | | $4.51 | $14.32 | $33.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $4.69 / $13.81
| Professional | | $3.43 | $4.69 | $13.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.80 / $8.25 / $11.29
| Professional | | $5.80 | $8.25 | $11.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.24 / $6.47 / $69.38
| Facility | | $5.24 | $6.47 | $69.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $6.47 / $11.71
| Professional | | $5.82 | $6.47 | $11.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.75 / $91.34 / $1,028.46
| Facility | | $66.75 | $91.34 | $1,028.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $16.22
| Facility | | $5.18 | $6.47 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $4.98 / $9.36
| Professional | | $3.43 | $4.98 | $9.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.95 / $1.95 / $1.95
| Facility | | $1.95 | $1.95 | $1.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.70 / $5.29
| Professional | | $2.72 | $3.70 | $5.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.20 / $6.47
| Professional | | $2.52 | $3.20 | $6.47 |