- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.33 / $83.16 / $229.08
| Facility | | $11.33 | $83.16 | $229.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.40 / $5.25 / $6.79
| Professional | | $4.40 | $5.25 | $6.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.88 / $9.06
| Professional | | $2.25 | $3.88 | $9.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.53 / $17.27 / $36.29
| Facility | | $4.53 | $17.27 | $36.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.69 / $5.00 / $5.64
| Professional | | $3.69 | $5.00 | $5.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.97 / $14.56 / $86.26
| Facility | | $5.97 | $14.56 | $86.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.47 / $10.35
| Professional | | $4.84 | $6.47 | $10.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.53 / $6.53
| Facility | | $6.47 | $6.53 | $6.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.19 / $14.23 / $33.04
| Facility | | $5.19 | $14.23 | $33.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $7.20 / $10.94
| Professional | | $3.68 | $7.20 | $10.94 |
- 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
- $5.80 / $8.25 / $12.33
| Professional | | $5.80 | $8.25 | $12.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.24 / $6.47 / $186.90
| Facility | | $5.24 | $6.47 | $186.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.82 / $6.47 / $11.71
| Professional | | $5.82 | $6.47 | $11.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.36 / $90.97 / $1,088.56
| Facility | | $67.36 | $90.97 | $1,088.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.18 / $6.47 / $17.88
| Facility | | $5.18 | $6.47 | $17.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $6.58 / $10.69
| Professional | | $3.94 | $6.58 | $10.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.70 / $5.35
| Professional | | $2.72 | $3.70 | $5.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.19 / $6.47
| Professional | | $2.52 | $3.19 | $6.47 |