- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.72 / $60.78 / $291.85
| Facility | | $12.72 | $60.78 | $291.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $9.58 / $10.83
| Professional | | $6.70 | $9.58 | $10.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.91 / $6.70 / $11.16
| Professional | | $3.91 | $6.70 | $11.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.06 / $35.94 / $66.84
| Facility | | $13.06 | $35.94 | $66.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.91 / $7.81
| Professional | | $5.00 | $5.91 | $7.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $16.73 / $62.67
| Facility | | $10.60 | $16.73 | $62.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.81 / $10.66 / $17.86
| Professional | | $7.81 | $10.66 | $17.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $10.94 / $11.16
| Facility | | $10.94 | $10.94 | $11.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.79 / $24.48 / $56.85
| Facility | | $7.79 | $24.48 | $56.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.91 / $8.11 / $18.60
| Professional | | $5.91 | $8.11 | $18.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.03 / $16.52 / $18.79
| Professional | | $10.03 | $16.52 | $18.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.93 / $11.16 / $20.00
| Facility | | $8.93 | $11.16 | $20.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.03 / $11.16 / $14.54
| Professional | | $10.03 | $11.16 | $14.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.56 / $352.48 / $861.18
| Facility | | $257.56 | $352.48 | $861.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.93 / $11.16 / $28.08
| Facility | | $8.93 | $11.16 | $28.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.91 / $8.59 / $16.13
| Professional | | $5.91 | $8.59 | $16.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.69 / $6.43 / $9.23
| Professional | | $4.69 | $6.43 | $9.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $5.51 / $11.16
| Professional | | $4.34 | $5.51 | $11.16 |