- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.34 / $51.69 / $145.69
| Facility | | $7.34 | $51.69 | $145.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.95 / $6.80
| Professional | | $4.20 | $4.95 | $6.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $3.78 / $5.67
| Professional | | $2.72 | $3.78 | $5.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.24 / $17.69 / $33.61
| Facility | | $6.24 | $17.69 | $33.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.12 / $5.00 / $5.50
| Professional | | $3.12 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.24 / $8.78 / $81.56
| Facility | | $5.24 | $8.78 | $81.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.25 / $5.67 / $9.65
| Professional | | $4.25 | $5.67 | $9.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.61 / $5.61 / $5.67
| Facility | | $5.61 | $5.61 | $5.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.96 / $12.47 / $29.10
| Facility | | $3.96 | $12.47 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $4.23 / $8.77
| Professional | | $3.01 | $4.23 | $8.77 |
- 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
- $5.09 / $8.46 / $9.66
| Professional | | $5.09 | $8.46 | $9.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.54 / $5.67 / $18.00
| Facility | | $4.54 | $5.67 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $5.67 / $10.26
| Professional | | $5.09 | $5.67 | $10.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.22 / $223.39 / $1,021.05
| Facility | | $163.22 | $223.39 | $1,021.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.54 / $5.67 / $14.27
| Facility | | $4.54 | $5.67 | $14.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.01 / $4.41 / $8.13
| Professional | | $3.01 | $4.41 | $8.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.38 / $3.25 / $5.25
| Professional | | $2.38 | $3.25 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.21 / $2.80 / $5.67
| Professional | | $2.21 | $2.80 | $5.67 |