- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $47.54 / $92.75
| Facility | | $13.54 | $47.54 | $92.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $9.97 / $12.05
| Professional | | $9.34 | $9.97 | $12.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.23 / $12.05
| Professional | | $6.03 | $7.23 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.82 / $51.71 / $8,639.91
| Facility | | $39.82 | $51.71 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.40 / $9.40 / $9.40
| Professional | | $9.40 | $9.40 | $9.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.98 / $14.91 / $35.00
| Facility | | $7.98 | $14.91 | $35.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $5.71 / $14.98
| Professional | | $5.71 | $5.71 | $14.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $7.11 / $16.32
| Professional | | $5.54 | $7.11 | $16.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.16 / $30.70 / $61.04
| Facility | | $11.16 | $30.70 | $61.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $8.07 / $8.88
| Professional | | $7.23 | $8.07 | $8.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $47.45 / $96.85
| Facility | | $9.80 | $47.45 | $96.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $9.97 / $16.51
| Professional | | $9.02 | $9.97 | $16.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $193.89 / $193.89 / $243.93
| Facility | | $193.89 | $193.89 | $243.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $14.91 / $40.20
| Facility | | $8.06 | $14.91 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $13.63 / $17.04
| Professional | | $5.71 | $13.63 | $17.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $12.68
| Facility | | $12.05 | $12.05 | $12.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $12.05 / $12.68
| Professional | | $10.60 | $12.05 | $12.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.82 / $6.03 / $6.03
| Facility | | $4.82 | $6.03 | $6.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $7.23 / $20.97
| Professional | | $4.84 | $7.23 | $20.97 |