- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.36 / $53.58 / $191.36
| Facility | | $6.36 | $53.58 | $191.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $4.59 / $7.21
| Professional | | $3.12 | $4.59 | $7.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.43 / $3.18 / $5.30
| Professional | | $1.43 | $3.18 | $5.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.20 / $17.01 / $31.75
| Facility | | $6.20 | $17.01 | $31.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.92 / $4.76 / $5.50
| Professional | | $2.92 | $4.76 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $7.69 / $49.75
| Facility | | $4.76 | $7.69 | $49.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.21 / $8.48
| Professional | | $3.98 | $5.21 | $8.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $5.30
| Facility | | $5.25 | $5.25 | $5.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.70 / $11.66 / $26.43
| Facility | | $3.70 | $11.66 | $26.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $5.78 / $11.25
| Professional | | $2.81 | $5.78 | $11.25 |
- 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
- $4.24 / $5.30 / $12.00
| Facility | | $4.24 | $5.30 | $12.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $5.30 / $8.78
| Professional | | $4.76 | $5.30 | $8.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,567.00 / $2,839.96 / $4,446.09
| Facility | | $1,567.00 | $2,839.96 | $4,446.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.26 / $5.30 / $12.98
| Facility | | $4.26 | $5.30 | $12.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $5.30 / $7.67
| Professional | | $2.81 | $5.30 | $7.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.23 / $3.03 / $4.33
| Professional | | $2.23 | $3.03 | $4.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.62 / $2.62 / $5.30
| Professional | | $2.62 | $2.62 | $5.30 |