- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.09 / $40.47 / $92.81
| Facility | | $4.09 | $40.47 | $92.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $2.69 / $2.99
| Professional | | $2.33 | $2.69 | $2.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.73 / $7.08 / $90.00
| Facility | | $2.73 | $7.08 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.79 / $2.99 / $11.67
| Professional | | $1.79 | $2.99 | $11.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.72 / $55.57 / $91.83
| Facility | | $36.72 | $55.57 | $91.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.81 / $2.81 / $3.82
| Professional | | $2.81 | $2.81 | $3.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.09 / $4.73 / $11.54
| Facility | | $2.09 | $4.73 | $11.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.76 / $3.30 / $10.85
| Professional | | $1.76 | $3.30 | $10.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.23 / $3,472.00 / $9,239.00
| Facility | | $13.23 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $4.20 / $4.94
| Professional | | $4.20 | $4.20 | $4.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.99 / $4.13 / $103.11
| Professional | | $2.99 | $4.13 | $103.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.64 / $4.36 / $55.35
| Facility | | $3.64 | $4.36 | $55.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $90.00 / $90.00
| Facility | | $7.08 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.44 / $2.31 / $12.60
| Professional | | $1.44 | $2.31 | $12.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.05 / $4.32 / $91.07
| Facility | | $3.05 | $4.32 | $91.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.64 / $3.08 / $3.78
| Professional | | $2.64 | $3.08 | $3.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.82 / $99.68 / $148.35
| Facility | | $52.82 | $99.68 | $148.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.44 / $2.50 / $12.60
| Professional | | $1.44 | $2.50 | $12.60 |