- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.08 / $53.42 / $247.78
| Facility | | $9.08 | $53.42 | $247.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $10.49 / $12.01
| Professional | | $7.21 | $10.49 | $12.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $7.21 / $8.34
| Professional | | $5.76 | $7.21 | $8.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.89 / $39.63 / $72.30
| Facility | | $14.89 | $39.63 | $72.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.37 / $10.69
| Professional | | $5.00 | $6.37 | $10.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $19.22 / $73.69
| Facility | | $12.01 | $19.22 | $73.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $11.80 / $18.76
| Professional | | $8.41 | $11.80 | $18.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $16.80 / $16.80
| Facility | | $12.01 | $16.80 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $26.40 / $60.83
| Facility | | $8.40 | $26.40 | $60.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $8.85 / $20.23
| Professional | | $6.37 | $8.85 | $20.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.87 / $132.00 / $132.00
| Facility | | $88.87 | $132.00 | $132.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $12.01 / $15.61
| Facility | | $9.61 | $12.01 | $15.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.81 / $12.01 / $15.66
| Professional | | $10.81 | $12.01 | $15.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $233.09 / $319.02 / $2,935.94
| Facility | | $233.09 | $319.02 | $2,935.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $12.01 / $33.18
| Facility | | $9.61 | $12.01 | $33.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $9.25 / $17.37
| Professional | | $6.37 | $9.25 | $17.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $6.89 / $12.01
| Professional | | $5.04 | $6.89 | $12.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $5.93 / $12.01
| Professional | | $4.68 | $5.93 | $12.01 |