- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.00 / $103.67 / $426.77
| Facility | | $24.00 | $103.67 | $426.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $6.60 / $8.94
| Professional | | $4.82 | $6.60 | $8.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $5.18 / $7.77
| Professional | | $2.72 | $5.18 | $7.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.44 / $20.62 / $43.51
| Facility | | $5.44 | $20.62 | $43.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $5.28 / $5.87
| Professional | | $4.58 | $5.28 | $5.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.99 / $11.27 / $107.46
| Facility | | $6.99 | $11.27 | $107.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $7.60 / $13.21
| Professional | | $5.44 | $7.60 | $13.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.77 / $7.77 / $7.77
| Facility | | $7.77 | $7.77 | $7.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.19 / $17.02 / $39.65
| Facility | | $6.19 | $17.02 | $39.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $7.88 / $16.37
| Professional | | $4.12 | $7.88 | $16.37 |
- 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
- $6.97 / $10.64 / $13.58
| Professional | | $6.97 | $10.64 | $13.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.22 / $9.77 / $188.81
| Facility | | $6.22 | $9.77 | $188.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $7.77 / $14.06
| Professional | | $6.99 | $7.77 | $14.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $640.85 / $1,465.41 / $2,447.35
| Facility | | $640.85 | $1,465.41 | $2,447.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.06 / $7.77 / $21.00
| Facility | | $6.06 | $7.77 | $21.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $7.77 / $11.14
| Professional | | $4.12 | $7.77 | $11.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.63 / $2.63 / $2.63
| Facility | | $2.63 | $2.63 | $2.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $4.46 / $6.35
| Professional | | $3.26 | $4.46 | $6.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.84 / $3.84 / $7.77
| Professional | | $3.84 | $3.84 | $7.77 |