- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.88 / $138.19 / $487.08
| Facility | | $20.88 | $138.19 | $487.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $6.00 / $6.89
| Professional | | $4.82 | $6.00 | $6.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $4.13 / $6.89
| Professional | | $3.10 | $4.13 | $6.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.58 / $21.63 / $40.42
| Facility | | $7.58 | $21.63 | $40.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $5.00 / $5.51
| Professional | | $3.79 | $5.00 | $5.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.37 / $11.02 / $130.60
| Facility | | $6.37 | $11.02 | $130.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $6.66 / $11.72
| Professional | | $5.17 | $6.66 | $11.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.89 / $35.63 / $35.63
| Facility | | $6.89 | $35.63 | $35.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.80 / $15.14 / $34.39
| Facility | | $4.80 | $15.14 | $34.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $5.05 / $10.33
| Professional | | $3.65 | $5.05 | $10.33 |
- 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
- $6.10 / $8.84 / $12.82
| Professional | | $6.10 | $8.84 | $12.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.86 / $7.58 / $251.16
| Facility | | $5.86 | $7.58 | $251.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $6.89 / $12.48
| Professional | | $6.20 | $6.89 | $12.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.51 / $6.89 / $17.16
| Facility | | $5.51 | $6.89 | $17.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.65 / $5.36 / $9.86
| Professional | | $3.65 | $5.36 | $9.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.31 / $2.31 / $2.31
| Facility | | $2.31 | $2.31 | $2.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.89 / $3.97 / $5.63
| Professional | | $2.89 | $3.97 | $5.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.40 / $6.89
| Professional | | $2.69 | $3.40 | $6.89 |