- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $33.78 / $140.72
| Facility | | $8.40 | $33.78 | $140.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.07 / $14.49 / $28.34
| Professional | | $12.07 | $14.49 | $28.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $8.13 / $9.76
| Professional | | $7.48 | $8.13 | $9.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.82 / $39.22 / $293.00
| Facility | | $17.82 | $39.22 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $12.81 / $37.82
| Professional | | $8.02 | $12.81 | $37.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.11 / $86.00 / $209.02
| Facility | | $42.11 | $86.00 | $209.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.07 / $14.39 / $56.21
| Professional | | $10.07 | $14.39 | $56.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.26 / $21.35 / $54.44
| Facility | | $11.26 | $21.35 | $54.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $19.30 / $27.10
| Professional | | $10.87 | $19.30 | $27.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.12 / $16.26 / $26.02
| Professional | | $14.12 | $16.26 | $26.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.01 / $16.26 / $35.77
| Professional | | $13.01 | $16.26 | $35.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $77.84 / $100.00
| Facility | | $50.00 | $77.84 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.75 / $9.75 / $9.75
| Professional | | $9.75 | $9.75 | $9.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.48 / $19.45 / $46.65
| Facility | | $13.48 | $19.45 | $46.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $16.26 / $32.52
| Professional | | $10.87 | $16.26 | $32.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.07 / $57.07 / $57.07
| Professional | | $57.07 | $57.07 | $57.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.01 / $16.26 / $22.76
| Professional | | $13.01 | $16.26 | $22.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $9.76 / $32.70
| Professional | | $6.83 | $9.76 | $32.70 |