- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $47.84 / $233.45
| Facility | | $10.24 | $47.84 | $233.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.19 / $10.79 / $21.48
| Professional | | $8.19 | $10.79 | $21.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $7.23 / $12.05
| Professional | | $7.23 | $7.23 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.01 / $32.08 / $3,439.74
| Facility | | $13.01 | $32.08 | $3,439.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.11 / $57.27 / $8,639.91
| Facility | | $44.11 | $57.27 | $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 / $16.04 / $40.20
| Facility | | $7.92 | $16.04 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.18 / $19.89 / $45.18
| Professional | | $14.18 | $19.89 | $45.18 |
- 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
- $16.28 / $29.85 / $53.83
| Facility | | $16.28 | $29.85 | $53.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $7.96 / $18.80
| Professional | | $7.23 | $7.96 | $18.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.52 / $30.32 / $71.11
| Facility | | $12.52 | $30.32 | $71.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $34.82 / $129.09
| Facility | | $10.24 | $34.82 | $129.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $10.91 / $28.55
| Professional | | $8.68 | $10.91 | $28.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $18.32 / $40.20
| Facility | | $8.06 | $18.32 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.18 / $21.48 / $36.15
| Professional | | $14.18 | $21.48 | $36.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $12.05
| Facility | | $12.05 | $12.05 | $12.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $12.05 / $12.45
| Professional | | $10.60 | $12.05 | $12.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.23 / $20.97
| Professional | | $5.13 | $7.23 | $20.97 |