- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.22 / $36.39 / $176.40
| Facility | | $10.22 | $36.39 | $176.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.64 / $7.56 / $11.54
| Professional | | $6.64 | $7.56 | $11.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $8.41
| Professional | | $5.05 | $5.05 | $8.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.24 / $38.35 / $2,522.28
| Facility | | $15.24 | $38.35 | $2,522.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.34 / $54.99 / $8,639.91
| Facility | | $42.34 | $54.99 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.56 / $6.56 / $6.56
| Professional | | $6.56 | $6.56 | $6.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.82 / $11.21 / $28.25
| Facility | | $5.82 | $11.21 | $28.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $9.56 / $14.81
| Professional | | $5.28 | $9.56 | $14.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.87 / $6.73 / $11.39
| Professional | | $3.87 | $6.73 | $11.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.31 / $20.90 / $53.14
| Facility | | $11.31 | $20.90 | $53.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.53 / $8.00
| Professional | | $5.05 | $6.53 | $8.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.26 / $36.34 / $1,604.72
| Facility | | $14.26 | $36.34 | $1,604.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $34.96 / $133.65
| Facility | | $9.86 | $34.96 | $133.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $7.62 / $34.72
| Professional | | $6.50 | $7.62 | $34.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.63 / $12.77 / $28.25
| Facility | | $5.63 | $12.77 | $28.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $9.56 / $14.81
| Professional | | $5.28 | $9.56 | $14.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.41 / $8.41 / $8.41
| Facility | | $8.41 | $8.41 | $8.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $8.41 / $11.96
| Professional | | $7.40 | $8.41 | $11.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.21 / $4.21 / $5.76
| Facility | | $4.21 | $4.21 | $5.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.78 / $5.47 / $16.93
| Professional | | $3.78 | $5.47 | $16.93 |