- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.16 / $72.68 / $207.74
| Facility | | $7.16 | $72.68 | $207.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $4.69 / $6.47
| Professional | | $3.23 | $4.69 | $6.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.59 / $3.74 / $5.39
| Professional | | $2.59 | $3.74 | $5.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.43 / $96.67 / $179.85
| Facility | | $33.43 | $96.67 | $179.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $5.00 / $5.50
| Professional | | $2.86 | $5.00 | $5.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $9.43 / $74.68
| Facility | | $5.39 | $9.43 | $74.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.77 / $5.21 / $8.09
| Professional | | $3.77 | $5.21 | $8.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $45.29 / $45.29
| Facility | | $5.39 | $45.29 | $45.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.76 / $11.70 / $27.75
| Facility | | $3.76 | $11.70 | $27.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $3.97 / $9.30
| Professional | | $2.86 | $3.97 | $9.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $5.39 / $8.09
| Facility | | $4.30 | $5.39 | $8.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.39 / $7.02
| Professional | | $4.84 | $5.39 | $7.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,592.96 / $11,282.51 / $45,761.09
| Facility | | $8,592.96 | $11,282.51 | $45,761.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.30 / $5.39 / $13.40
| Facility | | $4.30 | $5.39 | $13.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.86 / $4.13 / $7.80
| Professional | | $2.86 | $4.13 | $7.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.25 / $3.10 / $4.46
| Professional | | $2.25 | $3.10 | $4.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $2.66 / $5.39
| Professional | | $2.10 | $2.66 | $5.39 |