- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.93 / $106.68 / $343.50
| Facility | | $12.93 | $106.68 | $343.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $5.81 / $35.11
| Professional | | $4.37 | $5.81 | $35.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $3.36 / $3.83
| Professional | | $3.36 | $3.36 | $3.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.14 / $13.51 / $293.00
| Facility | | $6.14 | $13.51 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.72 / $4.99 / $12.83
| Professional | | $2.72 | $4.99 | $12.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.04 / $48.89 / $92.60
| Facility | | $14.04 | $48.89 | $92.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.42 / $4.88 / $26.88
| Professional | | $3.42 | $4.88 | $26.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.82 / $7.35 / $18.75
| Facility | | $3.82 | $7.35 | $18.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.61 / $6.70 / $10.24
| Professional | | $3.61 | $6.70 | $10.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $5.60 / $8.96
| Professional | | $4.86 | $5.60 | $8.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.48 / $5.60 / $12.69
| Professional | | $4.48 | $5.60 | $12.69 |
- 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
- $3.36 / $3.36 / $3.36
| Professional | | $3.36 | $3.36 | $3.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.57 / $6.72 / $16.50
| Facility | | $4.57 | $6.72 | $16.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.71 / $5.60 / $11.20
| Professional | | $3.71 | $5.60 | $11.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.64 / $19.64 / $19.64
| Professional | | $19.64 | $19.64 | $19.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.48 / $5.60 / $7.84
| Professional | | $4.48 | $5.60 | $7.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $3.31 / $12.36
| Professional | | $2.35 | $3.31 | $12.36 |