- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.52 / $108.53 / $318.00
| Facility | | $14.52 | $108.53 | $318.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $7.26 / $12.10
| Professional | | $5.97 | $7.26 | $12.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.71 / $4.84 / $7.26
| Professional | | $3.71 | $4.84 | $7.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.84 / $19.46 / $293.00
| Facility | | $8.84 | $19.46 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $6.36 / $18.80
| Professional | | $3.98 | $6.36 | $18.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.90 / $64.20 / $106.14
| Facility | | $20.90 | $64.20 | $106.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.15 / $38.74
| Professional | | $5.01 | $7.15 | $38.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.59 / $10.61 / $27.82
| Facility | | $5.59 | $10.61 | $27.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.31 / $9.65 / $13.55
| Professional | | $5.31 | $9.65 | $13.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.65 / $8.07 / $12.91
| Professional | | $5.65 | $8.07 | $12.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.07 / $15.74
| Professional | | $6.46 | $8.07 | $15.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $11.05 / $20.16
| Professional | | $9.27 | $11.05 | $20.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $4.84 / $4.84
| Professional | | $4.84 | $4.84 | $4.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.70 / $9.68 / $23.08
| Facility | | $6.70 | $9.68 | $23.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.31 / $8.07 / $16.14
| Professional | | $5.31 | $8.07 | $16.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.32 / $28.32 / $28.32
| Professional | | $28.32 | $28.32 | $28.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.07 / $11.30
| Professional | | $6.46 | $8.07 | $11.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.63 / $4.84 / $5.97
| Facility | | $3.63 | $4.84 | $5.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.39 / $4.84 / $16.13
| Professional | | $3.39 | $4.84 | $16.13 |