- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.23 / $58.62 / $932.16
| Facility | | $8.23 | $58.62 | $932.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $82.27 / $216.48
| Professional | | $9.02 | $82.27 | $216.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $2.78 / $3.63
| Professional | | $2.40 | $2.78 | $3.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.72 / $12.59 / $293.00
| Facility | | $5.72 | $12.59 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.96 / $4.11 / $14.76
| Professional | | $2.96 | $4.11 | $14.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.15 / $46.14 / $91.91
| Facility | | $13.15 | $46.14 | $91.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $4.62 / $25.06
| Professional | | $3.23 | $4.62 | $25.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.61 / $6.85 / $17.46
| Facility | | $3.61 | $6.85 | $17.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $6.20 / $9.03
| Professional | | $3.40 | $6.20 | $9.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $5.22 / $8.35
| Professional | | $4.63 | $5.22 | $8.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.18 / $5.22 / $11.00
| Professional | | $4.18 | $5.22 | $11.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.81 / $134.53 / $134.53
| Facility | | $105.81 | $134.53 | $134.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.70 / $6.53 / $11.50
| Professional | | $4.70 | $6.53 | $11.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.13 / $3.13 / $3.13
| Professional | | $3.13 | $3.13 | $3.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.33 / $6.00 / $14.91
| Facility | | $4.33 | $6.00 | $14.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.48 / $5.22 / $10.44
| Professional | | $3.48 | $5.22 | $10.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.32 / $18.32 / $18.32
| Professional | | $18.32 | $18.32 | $18.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.18 / $5.22 / $7.31
| Professional | | $4.18 | $5.22 | $7.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.19 / $3.10 / $10.02
| Professional | | $2.19 | $3.10 | $10.02 |