- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.10 / $54.53 / $146.03
| Facility | | $6.10 | $54.53 | $146.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.50 / $3.90 / $5.15
| Professional | | $2.50 | $3.90 | $5.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.58 / $2.71 / $4.51
| Professional | | $1.58 | $2.71 | $4.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.38 / $14.46 / $27.07
| Facility | | $5.38 | $14.46 | $27.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.49 / $4.07 / $5.50
| Professional | | $2.49 | $4.07 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.18 / $7.23 / $37.39
| Facility | | $4.18 | $7.23 | $37.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $4.51 / $7.23
| Professional | | $3.39 | $4.51 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $4.47 / $4.51
| Facility | | $4.47 | $4.47 | $4.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.16 / $9.94 / $22.49
| Facility | | $3.16 | $9.94 | $22.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $4.48 / $7.91
| Professional | | $2.58 | $4.48 | $7.91 |
- 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
- $4.07 / $6.61 / $7.52
| Professional | | $4.07 | $6.61 | $7.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.75 / $4.51 / $64.40
| Facility | | $3.75 | $4.51 | $64.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $4.51 / $8.19
| Professional | | $4.07 | $4.51 | $8.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $653.34 / $880.48 / $1,200.42
| Facility | | $653.34 | $880.48 | $1,200.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.66 / $4.51 / $11.36
| Facility | | $3.66 | $4.51 | $11.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.58 / $4.48 / $7.48
| Professional | | $2.58 | $4.48 | $7.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.90 / $2.59 / $3.74
| Professional | | $1.90 | $2.59 | $3.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.23 / $2.23 / $4.51
| Professional | | $2.23 | $2.23 | $4.51 |