- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.53 / $64.72 / $299.64
| Facility | | $7.53 | $64.72 | $299.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $8.22 / $9.44
| Professional | | $5.95 | $8.22 | $9.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.53 / $6.56 / $9.44
| Professional | | $4.53 | $6.56 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.60 / $31.06 / $56.55
| Facility | | $11.60 | $31.06 | $56.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.50 / $8.40
| Professional | | $5.00 | $5.50 | $8.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.97 / $14.63 / $97.90
| Facility | | $8.97 | $14.63 | $97.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.00 / $14.16
| Professional | | $7.08 | $9.00 | $14.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.40 / $9.40 / $9.44
| Facility | | $9.40 | $9.40 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.60 / $20.75 / $47.61
| Facility | | $6.60 | $20.75 | $47.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.86 / $19.95
| Professional | | $5.00 | $6.86 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.50 / $69.72 / $100.00
| Facility | | $55.50 | $69.72 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.55 / $9.44 / $17.77
| Facility | | $7.55 | $9.44 | $17.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.50 / $9.44 / $13.08
| Professional | | $8.50 | $9.44 | $13.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.17 / $1,482.95 / $2,434.88
| Facility | | $650.17 | $1,482.95 | $2,434.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.55 / $9.44 / $23.52
| Facility | | $7.55 | $9.44 | $23.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.27 / $13.63
| Professional | | $5.00 | $7.27 | $13.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.96 / $5.54 / $8.40
| Professional | | $3.96 | $5.54 | $8.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $4.66 / $9.44
| Professional | | $3.68 | $4.66 | $9.44 |