- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.48 / $109.14 / $227.46
| Facility | | $17.48 | $109.14 | $227.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.99 / $11.37 / $12.76
| Professional | | $7.99 | $11.37 | $12.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $6.38 / $12.76
| Professional | | $6.12 | $6.38 | $12.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.56 / $39.08 / $71.58
| Facility | | $13.56 | $39.08 | $71.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.02 / $8.93
| Professional | | $5.00 | $7.02 | $8.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.12 / $21.05 / $64.54
| Facility | | $12.12 | $21.05 | $64.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.57 / $13.54 / $21.70
| Professional | | $9.57 | $13.54 | $21.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.76 / $13.39 / $13.39
| Facility | | $12.76 | $13.39 | $13.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.92 / $28.02 / $64.77
| Facility | | $8.92 | $28.02 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $10.70 / $22.03
| Professional | | $7.18 | $10.70 | $22.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $61.32 / $61.32
| Facility | | $50.00 | $61.32 | $61.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.32 / $16.09 / $22.11
| Professional | | $11.32 | $16.09 | $22.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.21 / $12.76 / $28.00
| Facility | | $10.21 | $12.76 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $12.76 / $16.63
| Professional | | $11.48 | $12.76 | $16.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $400.83 / $548.52 / $1,993.48
| Facility | | $400.83 | $548.52 | $1,993.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.21 / $12.76 / $30.58
| Facility | | $10.21 | $12.76 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $12.76 / $20.86
| Professional | | $7.18 | $12.76 | $20.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $7.32 / $10.43
| Professional | | $5.36 | $7.32 | $10.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.98 / $6.30 / $12.76
| Professional | | $4.98 | $6.30 | $12.76 |