- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.79 / $27.72 / $104.34
| Facility | | $5.79 | $27.72 | $104.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.07 / $10.32 / $13.79
| Professional | | $8.07 | $10.32 | $13.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $6.92 / $10.38
| Professional | | $5.30 | $6.92 | $10.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $27.81 / $293.00
| Facility | | $12.63 | $27.81 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $9.08 / $26.71
| Professional | | $5.69 | $9.08 | $26.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.86 / $77.00 / $149.72
| Facility | | $29.86 | $77.00 | $149.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.15 / $10.21 / $55.34
| Professional | | $7.15 | $10.21 | $55.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.96 / $15.13 / $38.57
| Facility | | $7.96 | $15.13 | $38.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $14.03 / $20.48
| Professional | | $7.43 | $14.03 | $20.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $11.53 / $18.45
| Professional | | $10.24 | $11.53 | $18.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $11.53 / $25.14
| Professional | | $9.22 | $11.53 | $25.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.00 / $60.00 / $60.00
| Facility | | $49.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $6.92
| Professional | | $6.92 | $6.92 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.56 / $13.84 / $32.95
| Facility | | $9.56 | $13.84 | $32.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $11.53 / $23.06
| Professional | | $7.65 | $11.53 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.47 / $40.47 / $40.47
| Professional | | $40.47 | $40.47 | $40.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $11.53 / $16.14
| Professional | | $9.22 | $11.53 | $16.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.92 / $22.29
| Professional | | $4.84 | $6.92 | $22.29 |