- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $23.19 / $37.76
| Facility | | $12.59 | $23.19 | $37.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.84 / $11.85 / $18.52
| Professional | | $9.84 | $11.85 | $18.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $13.25 / $34.45
| Facility | | $13.25 | $13.25 | $34.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $8.01 / $29.91
| Professional | | $6.00 | $8.01 | $29.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.95 / $13.25 / $13.25
| Facility | | $7.95 | $13.25 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $13.25 / $13.25
| Professional | | $9.67 | $13.25 | $13.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $26.86 / $134.76
| Facility | | $9.26 | $26.86 | $134.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $14.98 / $63.87
| Professional | | $9.76 | $14.98 | $63.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $17.23 / $332.00
| Facility | | $8.00 | $17.23 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $7.95 / $24.25
| Professional | | $6.06 | $7.95 | $24.25 |
- 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 / $12.65 / $15.93
| Professional | | $10.61 | $12.65 | $15.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $24.00 / $59.02
| Facility | | $8.91 | $24.00 | $59.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.36 / $176.68
| Facility | | $13.73 | $32.36 | $176.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $14.98 / $27.30
| Professional | | $10.63 | $14.98 | $27.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.95 / $22.15
| Professional | | $5.57 | $7.95 | $22.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.24 / $15.24 / $48.83
| Facility | | $15.24 | $15.24 | $48.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.69 / $13.89 / $17.59
| Professional | | $11.69 | $13.89 | $17.59 |