- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.34 / $22.88 / $101.68
| Facility | | $5.34 | $22.88 | $101.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $11.38 / $40.86
| Professional | | $9.36 | $11.38 | $40.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.27 / $10.90
| Professional | | $5.57 | $7.27 | $10.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.27 / $29.21 / $293.00
| Facility | | $13.27 | $29.21 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $9.53 / $28.16
| Professional | | $7.00 | $9.53 | $28.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.36 / $77.20 / $157.26
| Facility | | $31.36 | $77.20 | $157.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.50 / $10.72 / $58.13
| Professional | | $7.50 | $10.72 | $58.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $15.90 / $40.53
| Facility | | $8.38 | $15.90 | $40.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $14.87 / $21.68
| Professional | | $8.91 | $14.87 | $21.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $12.11 / $19.38
| Professional | | $10.63 | $12.11 | $19.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $13.38 / $13.38
| Professional | | $13.38 | $13.38 | $13.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $12.11 / $26.40
| Professional | | $9.69 | $12.11 | $26.40 |
- 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
- $13.73 / $17.13 / $23.68
| Professional | | $13.73 | $17.13 | $23.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.03 / $14.48 / $36.40
| Facility | | $10.03 | $14.48 | $36.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.97 / $12.98 / $24.22
| Professional | | $8.97 | $12.98 | $24.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.50 / $42.50 / $42.50
| Professional | | $42.50 | $42.50 | $42.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $12.11 / $16.95
| Professional | | $9.69 | $12.11 | $16.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $7.20 / $23.26
| Professional | | $5.09 | $7.20 | $23.26 |