- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $105.00 / $691.08
| Facility | | $9.73 | $105.00 | $691.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.74 / $32.22
| Professional | | $7.59 | $10.74 | $32.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.22 / $7.23 / $12.05
| Professional | | $4.22 | $7.23 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.88 / $39.77 / $72.18
| Facility | | $14.88 | $39.77 | $72.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $9.34 / $12.74
| Professional | | $6.63 | $9.34 | $12.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $17.47 / $144.28
| Facility | | $10.85 | $17.47 | $144.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $16.39 / $31.13
| Professional | | $9.64 | $16.39 | $31.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.99 / $11.99 / $12.05
| Facility | | $11.99 | $11.99 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $26.47 / $60.83
| Facility | | $8.42 | $26.47 | $60.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $17.04 / $51.71
| Professional | | $9.36 | $17.04 | $51.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.19 / $133.86 / $133.86
| Facility | | $60.19 | $133.86 | $133.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.09 / $16.98 / $27.51
| Facility | | $13.09 | $16.98 | $27.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $12.05 / $32.52
| Professional | | $10.24 | $12.05 | $32.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $158.28 / $216.60 / $438.62
| Facility | | $158.28 | $216.60 | $438.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.03 / $17.01 / $33.26
| Facility | | $13.03 | $17.01 | $33.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $16.12 / $28.17
| Professional | | $9.27 | $16.12 | $28.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.89 / $8.90
| Professional | | $5.05 | $6.89 | $8.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.70 / $5.95 / $12.05
| Professional | | $4.70 | $5.95 | $12.05 |