- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.49 / $58.48 / $495.36
| Facility | | $11.49 | $58.48 | $495.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.55 / $12.08 / $18.91
| Professional | | $10.55 | $12.08 | $18.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $9.94 / $9.94
| Professional | | $9.94 | $9.94 | $9.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.26 / $69.16 / $8,639.91
| Facility | | $53.26 | $69.16 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.55 / $10.55 / $10.55
| Professional | | $10.55 | $10.55 | $10.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.88 / $18.01 / $44.55
| Facility | | $8.88 | $18.01 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $15.69 / $23.70
| Professional | | $8.53 | $15.69 | $23.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $10.82 / $18.30
| Professional | | $6.22 | $10.82 | $18.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.40 / $25.88 / $84.76
| Facility | | $13.40 | $25.88 | $84.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $8.93 / $9.06
| Professional | | $8.93 | $8.93 | $9.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.64 / $53.67 / $454.65
| Facility | | $12.64 | $53.67 | $454.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.73 / $12.43 / $55.00
| Professional | | $9.73 | $12.43 | $55.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.05 / $20.53 / $44.55
| Facility | | $9.05 | $20.53 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $15.69 / $23.70
| Professional | | $8.53 | $15.69 | $23.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.52 / $13.52 / $13.52
| Facility | | $13.52 | $13.52 | $13.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.90 / $13.52 / $15.04
| Professional | | $11.90 | $13.52 | $15.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.41 / $6.76 / $9.27
| Facility | | $5.41 | $6.76 | $9.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $8.11 / $25.69
| Professional | | $5.68 | $8.11 | $25.69 |