- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $46.77 / $147.91
| Facility | | $7.76 | $46.77 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $15.49
| Professional | | $6.03 | $7.94 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.13 / $6.31
| Professional | | $5.01 | $5.13 | $6.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $33.11 / $61.66
| Facility | | $11.48 | $33.11 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.62 / $8.32
| Professional | | $5.01 | $5.62 | $8.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $15.49 / $63.10
| Facility | | $9.55 | $15.49 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $10.00 / $17.38
| Professional | | $7.24 | $10.00 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $10.23
| Facility | | $10.23 | $10.23 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $21.38 / $47.86
| Facility | | $9.33 | $21.38 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.41 / $17.38
| Professional | | $5.50 | $7.41 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.62 / $77.62 / $77.62
| Facility | | $77.62 | $77.62 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $10.23 / $56.23
| Facility | | $7.76 | $10.23 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $9.12 / $14.45
| Professional | | $6.03 | $9.12 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $8.71 / $8.71
| Professional | | $7.76 | $8.71 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $10.23 / $30.20
| Facility | | $8.32 | $10.23 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $7.59 / $17.38
| Professional | | $5.89 | $7.59 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.72 / $6.17 / $10.23
| Facility | | $3.72 | $6.17 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $6.03 / $12.88
| Professional | | $4.37 | $6.03 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $4.07 / $4.07
| Professional | | $4.07 | $4.07 | $4.07 |