- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.92 / $56.25 / $127.85
| Facility | | $9.92 | $56.25 | $127.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.65 / $15.66
| Professional | | $7.83 | $11.65 | $15.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $7.83 / $9.06
| Professional | | $4.57 | $7.83 | $9.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.30 / $43.06 / $78.56
| Facility | | $16.30 | $43.06 | $78.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.92 / $11.39
| Professional | | $5.00 | $6.92 | $11.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $20.23 / $77.23
| Facility | | $13.05 | $20.23 | $77.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.78 / $13.25 / $22.12
| Professional | | $9.78 | $13.25 | $22.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $13.70 / $13.70
| Facility | | $13.05 | $13.70 | $13.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.11 / $28.66 / $66.12
| Facility | | $9.11 | $28.66 | $66.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $9.57 / $21.88
| Professional | | $6.92 | $9.57 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.47 / $64.17 / $64.17
| Facility | | $50.47 | $64.17 | $64.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.44 / $13.05 / $19.48
| Facility | | $10.44 | $13.05 | $19.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $13.05 / $20.95
| Professional | | $11.75 | $13.05 | $20.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $347.32 / $475.28 / $3,864.41
| Facility | | $347.32 | $475.28 | $3,864.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.45 / $13.05 / $32.52
| Facility | | $10.45 | $13.05 | $32.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $10.05 / $18.86
| Professional | | $6.92 | $10.05 | $18.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $7.46 / $10.66
| Professional | | $5.48 | $7.46 | $10.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $6.44 / $13.05
| Professional | | $5.09 | $6.44 | $13.05 |