- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.47 / $84.10 / $236.25
| Facility | | $13.47 | $84.10 | $236.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.86 / $7.86 / $9.92
| Professional | | $5.86 | $7.86 | $9.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $6.01 / $9.02
| Professional | | $4.05 | $6.01 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.83 / $28.05 / $52.87
| Facility | | $9.83 | $28.05 | $52.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $5.00 / $6.56
| Professional | | $4.96 | $5.00 | $6.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $20.30 / $106.18
| Facility | | $8.11 | $20.30 | $106.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $9.61 / $14.52
| Professional | | $6.31 | $9.61 | $14.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $9.02 / $9.02
| Facility | | $9.02 | $9.02 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.30 / $19.80 / $44.94
| Facility | | $6.30 | $19.80 | $44.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $7.56 / $15.82
| Professional | | $5.15 | $7.56 | $15.82 |
- 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
- $8.11 / $11.56 / $15.80
| Professional | | $8.11 | $11.56 | $15.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $9.02 / $157.97
| Facility | | $7.50 | $9.02 | $157.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $9.02 / $16.69
| Professional | | $8.11 | $9.02 | $16.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.70 / $111.81 / $316.25
| Facility | | $81.70 | $111.81 | $316.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.22 / $9.02 / $22.68
| Facility | | $7.22 | $9.02 | $22.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $8.56 / $14.94
| Professional | | $5.15 | $8.56 | $14.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $5.20 / $7.59
| Professional | | $3.79 | $5.20 | $7.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.52 / $4.45 / $9.02
| Professional | | $3.52 | $4.45 | $9.02 |