- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.28 / $86.85 / $254.08
| Facility | | $11.28 | $86.85 | $254.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $8.61 / $22.98
| Professional | | $6.32 | $8.61 | $22.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $5.75 / $9.58
| Professional | | $4.59 | $5.75 | $9.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.92 / $30.94 / $57.38
| Facility | | $10.92 | $30.94 | $57.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.50 / $8.36
| Professional | | $5.00 | $5.50 | $8.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $15.33 / $42.91
| Facility | | $9.58 | $15.33 | $42.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $9.58 / $14.37
| Professional | | $7.19 | $9.58 | $14.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $10.06 / $10.06
| Facility | | $9.58 | $10.06 | $10.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.69 / $21.06 / $48.92
| Facility | | $6.69 | $21.06 | $48.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $7.06 / $14.45
| Professional | | $5.08 | $7.06 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $62.90 / $68.00
| Facility | | $60.00 | $62.90 | $68.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $14.10 / $16.10
| Professional | | $8.61 | $14.10 | $16.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.66 / $9.58 / $14.32
| Facility | | $7.66 | $9.58 | $14.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.14 / $9.58 / $10.54
| Professional | | $8.14 | $9.58 | $10.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136.63 / $186.97 / $495.33
| Facility | | $136.63 | $186.97 | $495.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.66 / $9.58 / $26.46
| Facility | | $7.66 | $9.58 | $26.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $7.45 / $10.38
| Professional | | $5.08 | $7.45 | $10.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.01 / $5.53 / $7.33
| Professional | | $4.01 | $5.53 | $7.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.74 / $4.73 / $9.58
| Professional | | $3.74 | $4.73 | $9.58 |