- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.54 / $87.20 / $235.48
| Facility | | $14.54 | $87.20 | $235.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.86 / $14.19
| Professional | | $4.84 | $5.86 | $14.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $3.88 / $5.82
| Professional | | $3.24 | $3.88 | $5.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.09 / $15.61 / $293.00
| Facility | | $7.09 | $15.61 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.19 / $5.09 / $15.08
| Professional | | $3.19 | $5.09 | $15.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.76 / $56.77 / $96.19
| Facility | | $16.76 | $56.77 | $96.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.73 / $31.06
| Professional | | $4.01 | $5.73 | $31.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.49 / $8.50 / $22.32
| Facility | | $4.49 | $8.50 | $22.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $7.85 / $11.23
| Professional | | $4.79 | $7.85 | $11.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $6.47 / $10.35
| Professional | | $5.71 | $6.47 | $10.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $14.23
| Professional | | $5.18 | $6.47 | $14.23 |
- 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
- $5.82 / $9.19 / $18.14
| Professional | | $5.82 | $9.19 | $18.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.24 / $7.74 / $21.33
| Facility | | $5.24 | $7.74 | $21.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $7.12 / $12.94
| Professional | | $4.79 | $7.12 | $12.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.70 / $22.70 / $22.70
| Professional | | $22.70 | $22.70 | $22.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $9.06
| Professional | | $5.18 | $6.47 | $9.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.85 / $13.32
| Professional | | $2.72 | $3.85 | $13.32 |