- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.10 / $145.58 / $331.52
| Facility | | $9.10 | $145.58 | $331.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.36 / $4.99 / $9.92
| Professional | | $3.36 | $4.99 | $9.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.69 / $3.36 / $3.83
| Professional | | $2.69 | $3.36 | $3.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.38 / $17.86 / $33.49
| Facility | | $6.38 | $17.86 | $33.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.97 / $5.00 / $5.54
| Professional | | $2.97 | $5.00 | $5.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.32 / $8.40 / $12.60
| Facility | | $5.32 | $8.40 | $12.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.48 / $5.55 / $8.40
| Professional | | $4.48 | $5.55 | $8.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.60 / $7.84 / $7.84
| Facility | | $5.60 | $7.84 | $7.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.92 / $12.23 / $27.75
| Facility | | $3.92 | $12.23 | $27.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.97 / $3.98 / $9.30
| Professional | | $2.97 | $3.98 | $9.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.48 / $5.60 / $10.08
| Facility | | $4.48 | $5.60 | $10.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $5.60 / $9.00
| Professional | | $5.04 | $5.60 | $9.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $419.13 / $583.14 / $3,846.06
| Facility | | $419.13 | $583.14 | $3,846.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.48 / $5.60 / $15.46
| Facility | | $4.48 | $5.60 | $15.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.97 / $4.23 / $7.89
| Professional | | $2.97 | $4.23 | $7.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.35 / $3.15 / $4.63
| Professional | | $2.35 | $3.15 | $4.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.18 / $2.72 / $5.60
| Professional | | $2.18 | $2.72 | $5.60 |