- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $34.65 / $130.79
| Facility | | $8.13 | $34.65 | $130.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $4.86 / $9.61
| Professional | | $4.37 | $4.86 | $9.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $3.23 / $3.23
| Professional | | $3.23 | $3.23 | $3.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $25.38 / $1,373.31
| Facility | | $9.77 | $25.38 | $1,373.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.08 / $35.15 / $8,639.91
| Facility | | $27.08 | $35.15 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.20 / $4.20
| Professional | | $4.20 | $4.20 | $4.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.54 / $7.17 / $17.39
| Facility | | $3.54 | $7.17 | $17.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $6.20 / $9.31
| Professional | | $3.42 | $6.20 | $9.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.48 / $4.30 / $7.30
| Professional | | $2.48 | $4.30 | $7.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.96 / $71.26 / $168.27
| Facility | | $26.96 | $71.26 | $168.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $4.53 / $5.00
| Professional | | $3.23 | $4.53 | $5.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.47 / $23.86 / $62.30
| Facility | | $11.47 | $23.86 | $62.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.97 / $37.70 / $236.68
| Facility | | $7.97 | $37.70 | $236.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.26 / $5.39 / $33.79
| Professional | | $4.26 | $5.39 | $33.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $672.38 / $19,167.16 / $24,113.52
| Facility | | $672.38 | $19,167.16 | $24,113.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.61 / $8.17 / $23.90
| Facility | | $3.61 | $8.17 | $23.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $6.20 / $9.31
| Professional | | $3.42 | $6.20 | $9.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $5.39 / $7.73
| Facility | | $5.39 | $5.39 | $7.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.39 / $7.73 / $7.73
| Professional | | $5.39 | $7.73 | $7.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.43 / $3.45 / $9.41
| Professional | | $2.43 | $3.45 | $9.41 |