- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.92 / $13.38 / $78.78
| Facility | | $5.92 | $13.38 | $78.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $5.66 / $8.86
| Professional | | $5.60 | $5.66 | $8.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $5.60 / $5,443.08
| Facility | | $4.76 | $5.60 | $5,443.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.17 / $6.08 / $8,639.91
| Facility | | $5.17 | $6.08 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.81 / $5.81 / $5.81
| Professional | | $5.81 | $5.81 | $5.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.28 / $5.60 / $5.60
| Facility | | $5.28 | $5.60 | $5.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $5.60 / $5.60
| Professional | | $5.60 | $5.60 | $5.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $33.64 / $52.91
| Facility | | $8.86 | $33.64 | $52.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.76 / $5.44 / $5,226.00
| Facility | | $4.76 | $5.44 | $5,226.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.94 / $15.05 / $78.78
| Facility | | $5.94 | $15.05 | $78.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $5.66 / $15.78
| Professional | | $5.24 | $5.66 | $15.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,439.27 / $1,507.64 / $1,842.24
| Facility | | $1,439.27 | $1,507.64 | $1,842.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.28 / $5.60 / $5.60
| Facility | | $5.28 | $5.60 | $5.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $5.60 / $5.60
| Professional | | $5.60 | $5.60 | $5.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $7.84
| Facility | | $6.76 | $6.76 | $7.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $7.84
| Professional | | $6.76 | $6.76 | $7.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $5.60 / $10.25
| Professional | | $5.60 | $5.60 | $10.25 |