- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.74 / $85.11 / $315.52
| Facility | | $14.74 | $85.11 | $315.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.19 / $7.54 / $14.13
| Professional | | $5.19 | $7.54 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.15 / $5.19 / $6.62
| Professional | | $4.15 | $5.19 | $6.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.43 / $26.90 / $50.68
| Facility | | $9.43 | $26.90 | $50.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $5.00 / $6.40
| Professional | | $4.76 | $5.00 | $6.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $13.84 / $86.83
| Facility | | $8.00 | $13.84 | $86.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $8.68 / $14.27
| Professional | | $6.92 | $8.68 | $14.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.56 / $8.56 / $8.65
| Facility | | $8.56 | $8.56 | $8.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.05 / $19.00 / $43.63
| Facility | | $6.05 | $19.00 | $43.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $6.32 / $14.77
| Professional | | $4.58 | $6.32 | $14.77 |
- 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
- $7.79 / $11.14 / $14.89
| Professional | | $7.79 | $11.14 | $14.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.18 / $8.65 / $184.68
| Facility | | $7.18 | $8.65 | $184.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $8.65 / $16.48
| Professional | | $7.79 | $8.65 | $16.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,907.56 / $6,398.41 / $52,664.07
| Facility | | $2,907.56 | $6,398.41 | $52,664.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $8.65 / $21.54
| Facility | | $6.92 | $8.65 | $21.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $6.66 / $12.50
| Professional | | $4.58 | $6.66 | $12.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.63 / $4.98 / $7.06
| Professional | | $3.63 | $4.98 | $7.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.37 / $4.26 / $8.65
| Professional | | $3.37 | $4.26 | $8.65 |