- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.48 / $112.76 / $223.50
| Facility | | $16.48 | $112.76 | $223.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $8.56 / $25.26
| Professional | | $8.02 | $8.56 | $25.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.66 / $5.66 / $6.56
| Professional | | $5.66 | $5.66 | $6.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.34 / $22.77 / $293.00
| Facility | | $10.34 | $22.77 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.66 / $6.51 / $14.16
| Professional | | $4.66 | $6.51 | $14.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.45 / $69.00 / $122.57
| Facility | | $24.45 | $69.00 | $122.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.85 / $8.36 / $45.31
| Professional | | $5.85 | $8.36 | $45.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.54 / $12.40 / $31.62
| Facility | | $6.54 | $12.40 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $10.74 / $14.45
| Professional | | $5.36 | $10.74 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.61 / $9.44 / $15.10
| Professional | | $2.61 | $9.44 | $15.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $9.44 / $21.06
| Professional | | $7.55 | $9.44 | $21.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.66 / $5.66 / $5.66
| Professional | | $5.66 | $5.66 | $5.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.55 / $10.71 / $26.99
| Facility | | $7.55 | $10.71 | $26.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $9.44 / $13.63
| Professional | | $5.36 | $9.44 | $13.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.13 / $33.13 / $33.13
| Professional | | $33.13 | $33.13 | $33.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.66 / $4.44 / $8.50
| Professional | | $2.66 | $4.44 | $8.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.96 / $5.61 / $18.23
| Professional | | $3.96 | $5.61 | $18.23 |