- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.92 / $116.90 / $395.72
| Facility | | $22.92 | $116.90 | $395.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $9.31 / $12.73
| Professional | | $6.94 | $9.31 | $12.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.55 / $7.42 / $7.42
| Professional | | $5.55 | $7.42 | $7.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.73 / $35.61 / $65.81
| Facility | | $12.73 | $35.61 | $65.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.13 / $7.87
| Professional | | $5.00 | $6.13 | $7.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $16.78 / $74.84
| Facility | | $8.10 | $16.78 | $74.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $11.46 / $17.36
| Professional | | $8.68 | $11.46 | $17.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $46.33 / $46.33
| Facility | | $11.57 | $46.33 | $46.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.09 / $23.42 / $54.22
| Facility | | $8.09 | $23.42 | $54.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $8.21 / $18.05
| Professional | | $6.13 | $8.21 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.00 / $64.84 / $100.00
| Facility | | $51.00 | $64.84 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.90 / $14.66 / $38.00
| Professional | | $9.90 | $14.66 | $38.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.51 / $11.57 / $205.30
| Facility | | $9.51 | $11.57 | $205.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.83 / $11.57 / $13.92
| Professional | | $9.83 | $11.57 | $13.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,567.00 / $3,700.76 / $6,130.88
| Facility | | $1,567.00 | $3,700.76 | $6,130.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $11.57 / $27.36
| Facility | | $8.86 | $11.57 | $27.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.13 / $8.94 / $15.43
| Professional | | $6.13 | $8.94 | $15.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.27 / $9.08
| Professional | | $4.86 | $6.27 | $9.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $5.28 / $11.57
| Professional | | $5.28 | $5.28 | $11.57 |