- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.76 / $67.95 / $157.16
| Facility | | $13.76 | $67.95 | $157.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.48 / $13.66 / $18.35
| Professional | | $9.48 | $13.66 | $18.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.34 / $10.62 / $11.72
| Professional | | $7.34 | $10.62 | $11.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.96 / $50.46 / $91.43
| Facility | | $18.96 | $50.46 | $91.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.10 / $13.61
| Professional | | $5.00 | $8.10 | $13.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.53 / $25.23 / $78.00
| Facility | | $14.53 | $25.23 | $78.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $15.28 / $23.25
| Professional | | $11.47 | $15.28 | $23.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.29 / $16.05 / $16.05
| Facility | | $15.29 | $16.05 | $16.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.68 / $33.60 / $76.67
| Facility | | $10.68 | $33.60 | $76.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $11.19 / $25.71
| Professional | | $8.10 | $11.19 | $25.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $73.11 / $73.11
| Facility | | $50.00 | $73.11 | $73.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.65 / $22.20 / $25.23
| Professional | | $13.65 | $22.20 | $25.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.23 / $15.29 / $23.79
| Facility | | $12.23 | $15.29 | $23.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.76 / $15.29 / $19.93
| Professional | | $13.76 | $15.29 | $19.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $309.52 / $423.57 / $2,070.86
| Facility | | $309.52 | $423.57 | $2,070.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.23 / $15.29 / $38.11
| Facility | | $12.23 | $15.29 | $38.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $11.77 / $22.10
| Professional | | $8.10 | $11.77 | $22.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $8.75 / $12.49
| Professional | | $6.42 | $8.75 | $12.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $7.55 / $15.29
| Professional | | $5.96 | $7.55 | $15.29 |