- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.86 / $50.40 / $176.40
| Facility | | $12.86 | $50.40 | $176.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $12.05 / $21.00
| Professional | | $7.91 | $12.05 | $21.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $7.23 / $7.23
| Professional | | $7.23 | $7.23 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.62 / $54.04 / $8,639.91
| Facility | | $41.62 | $54.04 | $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
- $7.92 / $15.12 / $35.99
| Facility | | $7.92 | $15.12 | $35.99 |
- 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
- $15.24 / $30.69 / $69.72
| Facility | | $15.24 | $30.69 | $69.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $8.44 / $8.86
| Professional | | $7.23 | $8.44 | $8.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.15 / $49.77 / $180.81
| Facility | | $14.15 | $49.77 | $180.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $12.62 / $28.44
| Professional | | $7.91 | $12.62 | $28.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $292.07 / $292.07 / $367.44
| Facility | | $292.07 | $292.07 | $367.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.39 / $14.91 / $40.20
| Facility | | $8.39 | $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 / $13.26
| Facility | | $12.05 | $12.05 | $13.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $12.05 / $13.26
| Professional | | $10.60 | $12.05 | $13.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $7.23 / $22.90
| Professional | | $5.05 | $7.23 | $22.90 |