- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.83 / $31.42 / $92.82
| Facility | | $11.83 | $31.42 | $92.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.30 / $16.26 / $112.95
| Professional | | $11.30 | $16.26 | $112.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $8.61 / $12.46
| Professional | | $8.61 | $8.61 | $12.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.36 / $57.02 / $96.82
| Facility | | $19.36 | $57.02 | $96.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.50 / $15.96
| Professional | | $5.00 | $9.50 | $15.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.93 / $27.79 / $96.28
| Facility | | $17.93 | $27.79 | $96.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.55 / $17.71 / $25.10
| Professional | | $12.55 | $17.71 | $25.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.93 / $46.62 / $46.62
| Facility | | $17.93 | $46.62 | $46.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.23 / $35.65 / $77.78
| Facility | | $12.23 | $35.65 | $77.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.50 / $13.45 / $29.91
| Professional | | $9.50 | $13.45 | $29.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $85.17 / $100.00
| Facility | | $50.00 | $85.17 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.63 / $17.93 / $19.72
| Facility | | $13.63 | $17.93 | $19.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.14 / $17.93 / $20.87
| Professional | | $16.14 | $17.93 | $20.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $636.29 / $860.22 / $1,999.85
| Facility | | $636.29 | $860.22 | $1,999.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $17.93 / $37.43
| Facility | | $14.34 | $17.93 | $37.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.50 / $13.95 / $29.00
| Professional | | $9.50 | $13.95 | $29.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.00 / $18.00 / $18.00
| Facility | | $18.00 | $18.00 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.53 / $9.30 / $11.55
| Professional | | $7.53 | $9.30 | $11.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $8.86 / $17.93
| Professional | | $6.99 | $8.86 | $17.93 |