- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.76 / $45.47 / $163.98
| Facility | | $16.76 | $45.47 | $163.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $18.55 / $23.02
| Professional | | $2.69 | $18.55 | $23.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.92 / $8.63 / $293.00
| Facility | | $3.92 | $8.63 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $12.51 / $32.47
| Professional | | $1.77 | $12.51 | $32.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.52 / $86.00 / $209.21
| Facility | | $37.52 | $86.00 | $209.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.84 / $14.06 / $26.01
| Professional | | $9.84 | $14.06 | $26.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.50 / $6.54 / $17.18
| Facility | | $2.50 | $6.54 | $17.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.31 / $5.16 / $12.09
| Professional | | $2.31 | $5.16 | $12.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $3.58 / $5.73
| Professional | | $3.18 | $3.58 | $5.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $3.58 / $7.80
| Professional | | $2.86 | $3.58 | $7.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $80.00 / $80.00
| Facility | | $60.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $1.79 / $1.79
| Professional | | $1.79 | $1.79 | $1.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.90 / $4.01 / $17.78
| Facility | | $1.90 | $4.01 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $4.63 / $21.83
| Professional | | $2.57 | $4.63 | $21.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.56 / $12.56 / $12.56
| Professional | | $12.56 | $12.56 | $12.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $3.22 / $4.45
| Professional | | $2.86 | $3.22 | $4.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.61 / $2.46 / $12.01
| Facility | | $1.61 | $2.46 | $12.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.50 / $6.50 / $21.87
| Professional | | $1.50 | $6.50 | $21.87 |