- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $162.18 / $977.24
| Facility | | $12.02 | $162.18 | $977.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $66.07 / $204.17
| Professional | | $4.47 | $66.07 | $204.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $7.41 / $134.90
| Facility | | $4.79 | $7.41 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.25 / $10.96
| Professional | | $3.16 | $5.25 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $12.88 / $20.42
| Facility | | $10.23 | $12.88 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $4.90 / $6.46
| Professional | | $4.90 | $4.90 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $8.32 / $19.95
| Facility | | $4.07 | $8.32 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $6.17 / $9.12
| Professional | | $3.80 | $6.17 | $9.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $3,630.78 / $9,772.37
| Facility | | $5.25 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $7.41 / $8.71
| Professional | | $7.41 | $7.41 | $8.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $15.85
| Professional | | $5.25 | $5.25 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $66.07 / $977.24
| Facility | | $7.59 | $66.07 | $977.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $7.41 / $134.90
| Facility | | $4.79 | $7.41 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.25 / $10.96
| Professional | | $3.16 | $5.25 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $5.89 / $8.91
| Facility | | $4.57 | $5.89 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $5.37 / $7.76
| Professional | | $4.57 | $5.37 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.02 / $5.25 / $8.51
| Facility | | $3.02 | $5.25 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.57 / $4.37 / $12.30
| Professional | | $2.57 | $4.37 | $12.30 |