- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.91 / $89.63 / $366.36
| Facility | | $9.91 | $89.63 | $366.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $10.57 / $13.71
| Professional | | $7.35 | $10.57 | $13.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $7.11 / $8.23
| Professional | | $5.69 | $7.11 | $8.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.69 / $39.10 / $71.34
| Facility | | $14.69 | $39.10 | $71.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.28 / $10.55
| Professional | | $5.00 | $6.28 | $10.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.85 / $18.37 / $70.98
| Facility | | $11.85 | $18.37 | $70.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $11.80 / $17.78
| Professional | | $8.89 | $11.80 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.85 / $12.44 / $12.44
| Facility | | $11.85 | $12.44 | $12.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $26.03 / $59.51
| Facility | | $8.27 | $26.03 | $59.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.28 / $8.86 / $18.07
| Professional | | $6.28 | $8.86 | $18.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109.57 / $139.31 / $144.00
| Facility | | $109.57 | $139.31 | $144.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.48 / $11.85 / $17.50
| Facility | | $9.48 | $11.85 | $17.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $11.85 / $15.45
| Professional | | $10.67 | $11.85 | $15.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $231.91 / $316.52 / $1,658.32
| Facility | | $231.91 | $316.52 | $1,658.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.48 / $11.85 / $32.71
| Facility | | $9.48 | $11.85 | $32.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.28 / $9.11 / $16.98
| Professional | | $6.28 | $9.11 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.98 / $6.79 / $10.07
| Professional | | $4.98 | $6.79 | $10.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.62 / $5.85 / $11.85
| Professional | | $4.62 | $5.85 | $11.85 |