- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.68 / $19.04 / $33.51
| Facility | | $5.68 | $19.04 | $33.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $3.97 / $7.82
| Professional | | $3.56 | $3.97 | $7.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $2.64 / $88.00
| Professional | | $2.64 | $2.64 | $88.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.88 / $19.25 / $194.33
| Facility | | $6.88 | $19.25 | $194.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.21 / $28.84 / $8,639.91
| Facility | | $22.21 | $28.84 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $3.43 / $3.43
| Professional | | $3.43 | $3.43 | $3.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.89 / $5.83 / $14.13
| Facility | | $2.89 | $5.83 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $5.11 / $7.62
| Professional | | $2.80 | $5.11 | $7.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $3.52 / $5.96
| Professional | | $2.02 | $3.52 | $5.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.21 / $14.41 / $38.49
| Facility | | $7.21 | $14.41 | $38.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $3.72 / $7.02
| Professional | | $2.64 | $3.72 | $7.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $18.19 / $42.67
| Facility | | $5.05 | $18.19 | $42.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.16 / $18.17 / $38.11
| Facility | | $5.16 | $18.17 | $38.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.43 / $3.97 / $18.17
| Professional | | $3.43 | $3.97 | $18.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $819.61 / $1,825.76 / $2,296.92
| Facility | | $819.61 | $1,825.76 | $2,296.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.95 / $6.68 / $14.13
| Facility | | $2.95 | $6.68 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $5.11 / $7.62
| Professional | | $2.80 | $5.11 | $7.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.40 / $4.40 / $4.40
| Facility | | $4.40 | $4.40 | $4.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $4.40 / $6.27
| Professional | | $3.87 | $4.40 | $6.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.96 / $5.28 / $5.28
| Facility | | $3.96 | $5.28 | $5.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.85 / $2.73 / $7.66
| Professional | | $1.85 | $2.73 | $7.66 |