- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.25 / $26.81 / $103.36
| Facility | | $7.25 | $26.81 | $103.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $5.17 / $9.80
| Professional | | $4.67 | $5.17 | $9.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $5.77 / $5.77
| Professional | | $5.77 | $5.77 | $5.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.15 / $37.85 / $8,639.91
| Facility | | $29.15 | $37.85 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $4.50 / $4.50
| Professional | | $4.50 | $4.50 | $4.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.79 / $7.68 / $19.55
| Facility | | $3.79 | $7.68 | $19.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.57 / $6.61 / $10.16
| Professional | | $3.57 | $6.61 | $10.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.65 / $4.62 / $7.81
| Professional | | $2.65 | $4.62 | $7.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.16 / $15.10 / $50.12
| Facility | | $8.16 | $15.10 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.46 / $4.91 / $5.50
| Professional | | $3.46 | $4.91 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $24.70 / $97.60
| Facility | | $4.90 | $24.70 | $97.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.55 / $5.17 / $16.37
| Professional | | $4.55 | $5.17 | $16.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $219.84 / $227.16 / $316.00
| Facility | | $219.84 | $227.16 | $316.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.86 / $8.77 / $19.55
| Facility | | $3.86 | $8.77 | $19.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.57 / $6.61 / $10.16
| Professional | | $3.57 | $6.61 | $10.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.77 / $5.77 / $5.77
| Facility | | $5.77 | $5.77 | $5.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $5.77 / $8.22
| Professional | | $5.08 | $5.77 | $8.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.60 / $3.69 / $10.03
| Professional | | $2.60 | $3.69 | $10.03 |