- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.30 / $80.75 / $250.43
| Facility | | $6.30 | $80.75 | $250.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.10 / $4.51 / $5.96
| Professional | | $3.10 | $4.51 | $5.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.40 / $3.11 / $3.59
| Professional | | $1.40 | $3.11 | $3.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.06 / $16.52 / $30.17
| Facility | | $6.06 | $16.52 | $30.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.85 / $4.97 / $5.50
| Professional | | $2.85 | $4.97 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $8.28 / $38.06
| Facility | | $4.79 | $8.28 | $38.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.18 / $8.28
| Professional | | $3.89 | $5.18 | $8.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.11 / $5.11 / $5.18
| Facility | | $5.11 | $5.11 | $5.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.62 / $11.39 / $26.43
| Facility | | $3.62 | $11.39 | $26.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $4.03 / $10.74
| Professional | | $2.75 | $4.03 | $10.74 |
- 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
- $4.65 / $7.55 / $8.58
| Professional | | $4.65 | $7.55 | $8.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.13 / $5.18 / $9.46
| Facility | | $4.13 | $5.18 | $9.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $5.18 / $6.75
| Professional | | $4.66 | $5.18 | $6.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,483.00 / $2,032.55 / $3,182.09
| Facility | | $1,483.00 | $2,032.55 | $3,182.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.15 / $5.18 / $12.98
| Facility | | $4.15 | $5.18 | $12.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.75 / $4.34 / $7.48
| Professional | | $2.75 | $4.34 | $7.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.96 / $4.22
| Professional | | $2.18 | $2.96 | $4.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.56 / $2.56 / $5.18
| Professional | | $2.56 | $2.56 | $5.18 |