- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $111.92 / $364.60
| Facility | | $10.52 | $111.92 | $364.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $11.97 / $16.61
| Professional | | $8.58 | $11.97 | $16.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.64 / $8.30 / $9.61
| Professional | | $6.64 | $8.30 | $9.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.16 / $45.67 / $83.32
| Facility | | $17.16 | $45.67 | $83.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.34 / $12.32
| Professional | | $5.00 | $7.34 | $12.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.15 / $20.76 / $106.29
| Facility | | $13.15 | $20.76 | $106.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.38 / $13.84 / $20.76
| Professional | | $10.38 | $13.84 | $20.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.84 / $19.38 / $19.38
| Facility | | $13.84 | $19.38 | $19.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $30.42 / $70.06
| Facility | | $9.67 | $30.42 | $70.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.34 / $10.28 / $21.16
| Professional | | $7.34 | $10.28 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $166.86 / $212.16 / $212.16
| Facility | | $166.86 | $212.16 | $212.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.07 / $13.84 / $20.62
| Facility | | $11.07 | $13.84 | $20.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.46 / $13.84 / $18.03
| Professional | | $12.46 | $13.84 | $18.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $314.30 / $429.24 / $2,545.63
| Facility | | $314.30 | $429.24 | $2,545.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.07 / $13.84 / $38.22
| Facility | | $11.07 | $13.84 | $38.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.34 / $10.66 / $19.80
| Professional | | $7.34 | $10.66 | $19.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.98 / $5.81 / $13.84
| Facility | | $4.98 | $5.81 | $13.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.81 / $7.98 / $13.65
| Professional | | $5.81 | $7.98 | $13.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.40 / $6.83 / $13.84
| Professional | | $5.40 | $6.83 | $13.84 |