- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.18 / $26.36 / $62.15
| Facility | | $11.18 | $26.36 | $62.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.69 / $24.76
| Professional | | $8.71 | $12.69 | $24.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.57 / $14.57 / $37.88
| Facility | | $14.57 | $14.57 | $37.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $8.74 / $29.70
| Professional | | $5.83 | $8.74 | $29.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.74 / $14.57 / $14.57
| Facility | | $8.74 | $14.57 | $14.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.64 / $14.57 / $14.57
| Professional | | $10.64 | $14.57 | $14.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $29.67 / $126.10
| Facility | | $10.18 | $29.67 | $126.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $16.44 / $93.66
| Professional | | $10.84 | $16.44 | $93.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $20.39 / $332.00
| Facility | | $11.10 | $20.39 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.66 / $8.74 / $26.66
| Professional | | $6.66 | $8.74 | $26.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.61 / $10.61 / $10.61
| Facility | | $10.61 | $10.61 | $10.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.61 / $13.84 / $17.61
| Professional | | $10.61 | $13.84 | $17.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.45 / $24.00 / $63.10
| Facility | | $11.45 | $24.00 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $9.71 / $9.71
| Professional | | $9.71 | $9.71 | $9.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.21 / $35.75 / $196.36
| Facility | | $14.21 | $35.75 | $196.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.05 / $16.13 / $30.01
| Professional | | $11.05 | $16.13 | $30.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $8.74 / $22.08
| Professional | | $6.12 | $8.74 | $22.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.76 / $16.76 / $53.62
| Facility | | $16.76 | $16.76 | $53.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.83 / $15.76 / $19.32
| Professional | | $12.83 | $15.76 | $19.32 |