- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.30 / $9.61 / $229.82
| Facility | | $5.30 | $9.61 | $229.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $5.34 / $7.26
| Professional | | $5.30 | $5.34 | $7.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.14 / $5.29 / $7.41
| Professional | | $5.14 | $5.29 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.98 / $7.54 / $14.90
| Facility | | $2.98 | $7.54 | $14.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $3.72 / $3.72
| Professional | | $3.72 | $3.72 | $3.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.33 / $6.08 / $133.71
| Facility | | $3.33 | $6.08 | $133.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $6.08 / $8.52
| Professional | | $3.09 | $6.08 | $8.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.45 / $32.45 / $32.45
| Facility | | $32.45 | $32.45 | $32.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $5.30 / $5.30
| Facility | | $5.00 | $5.30 | $5.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $5.30 / $5.30
| Professional | | $5.30 | $5.30 | $5.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $383.26 / $383.26
| Facility | | $75.00 | $383.26 | $383.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $97.55 / $97.55 / $97.55
| Professional | | $97.55 | $97.55 | $97.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $5.29 / $6.69
| Facility | | $1.00 | $5.29 | $6.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $5.30 / $8.75
| Professional | | $4.88 | $5.30 | $8.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.40 / $5.72 / $9.27
| Professional | | $2.40 | $5.72 | $9.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.01 / $5.30 / $6.73
| Facility | | $1.01 | $5.30 | $6.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $5.30 / $6.04
| Professional | | $5.30 | $5.30 | $6.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $5.62 / $5.90
| Professional | | $5.30 | $5.62 | $5.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.83 / $5.30 / $7.42
| Professional | | $4.83 | $5.30 | $7.42 |