- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $79.78 / $243.23
| Facility | | $13.49 | $79.78 | $243.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.21 / $5.23 / $6.01
| Professional | | $4.21 | $5.23 | $6.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $3.61 / $4.17
| Professional | | $2.10 | $3.61 | $4.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.49 / $18.55 / $35.17
| Facility | | $6.49 | $18.55 | $35.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $5.00 / $5.50
| Professional | | $3.31 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.56 / $13.52 / $111.20
| Facility | | $5.56 | $13.52 | $111.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $5.66 / $9.02
| Professional | | $4.51 | $5.66 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.01 / $8.41 / $8.41
| Facility | | $6.01 | $8.41 | $8.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.20 / $13.22 / $30.41
| Facility | | $4.20 | $13.22 | $30.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $5.03 / $10.73
| Professional | | $3.31 | $5.03 | $10.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.82 / $10.38
| Professional | | $5.41 | $7.82 | $10.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.11 / $6.54 / $181.44
| Facility | | $5.11 | $6.54 | $181.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $6.01 / $10.88
| Professional | | $5.41 | $6.01 | $10.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $539.92 / $908.93 / $2,483.00
| Facility | | $539.92 | $908.93 | $2,483.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.82 / $6.01 / $15.41
| Facility | | $4.82 | $6.01 | $15.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.31 / $5.81 / $9.02
| Professional | | $3.31 | $5.81 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.10 / $4.43 / $7.51
| Facility | | $2.10 | $4.43 | $7.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.52 / $3.44 / $4.90
| Professional | | $2.52 | $3.44 | $4.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.34 / $2.97 / $6.01
| Professional | | $2.34 | $2.97 | $6.01 |