- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.03 / $148.56 / $370.08
| Facility | | $14.03 | $148.56 | $370.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $6.55 / $8.65
| Professional | | $4.66 | $6.55 | $8.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.63 / $4.51 / $5.23
| Professional | | $2.63 | $4.51 | $5.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $20.00 / $42.19
| Facility | | $5.00 | $20.00 | $42.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.13 / $5.00 / $6.02
| Professional | | $4.13 | $5.00 | $6.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.95 / $12.03 / $369.19
| Facility | | $6.95 | $12.03 | $369.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $7.33 / $11.28
| Professional | | $5.64 | $7.33 | $11.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.52 / $28.27 / $28.27
| Facility | | $7.52 | $28.27 | $28.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $16.48 / $38.34
| Facility | | $6.00 | $16.48 | $38.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.23 / $8.30 / $12.98
| Professional | | $4.23 | $8.30 | $12.98 |
- 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
- $6.33 / $9.36 / $14.30
| Professional | | $6.33 | $9.36 | $14.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.23 / $7.52 / $211.50
| Facility | | $6.23 | $7.52 | $211.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $7.52 / $12.42
| Professional | | $6.77 | $7.52 | $12.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $467.21 / $719.84 / $1,528.00
| Facility | | $467.21 | $719.84 | $1,528.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.04 / $7.52 / $18.72
| Facility | | $6.04 | $7.52 | $18.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $7.64 / $12.30
| Professional | | $4.58 | $7.64 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $4.30 / $6.14
| Professional | | $3.16 | $4.30 | $6.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $3.72 / $7.52
| Professional | | $3.72 | $3.72 | $7.52 |