- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.78 / $51.91 / $207.02
| Facility | | $9.78 | $51.91 | $207.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $11.48 / $23.02
| Professional | | $8.11 | $11.48 | $23.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $7.73 / $7.73
| Professional | | $6.18 | $7.73 | $7.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.55 / $41.09 / $73.67
| Facility | | $14.55 | $41.09 | $73.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.83 / $11.46
| Professional | | $5.00 | $6.83 | $11.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $19.96 / $48.83
| Facility | | $12.88 | $19.96 | $48.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $12.85 / $19.32
| Professional | | $9.05 | $12.85 | $19.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.42 / $12.88 / $12.88
| Facility | | $9.42 | $12.88 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $28.29 / $64.77
| Facility | | $9.00 | $28.29 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $9.39 / $21.88
| Professional | | $6.83 | $9.39 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.00 / $175.95 / $175.95
| Facility | | $79.00 | $175.95 | $175.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $12.88 / $17.55
| Facility | | $10.29 | $12.88 | $17.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.59 / $12.88 / $16.79
| Professional | | $11.59 | $12.88 | $16.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,070.11 / $1,384.76 / $3,451.80
| Facility | | $1,070.11 | $1,384.76 | $3,451.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $12.88 / $30.58
| Facility | | $10.29 | $12.88 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $9.90 / $18.46
| Professional | | $6.83 | $9.90 | $18.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.37 / $10.52
| Professional | | $5.41 | $7.37 | $10.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.36 / $12.88
| Professional | | $5.01 | $6.36 | $12.88 |