- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.98 / $37.93 / $108.58
| Facility | | $13.98 | $37.93 | $108.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.95 / $13.48 / $15.84
| Professional | | $11.95 | $13.48 | $15.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $44.96 / $293.00
| Facility | | $20.42 | $44.96 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $7.83 / $19.39
| Professional | | $7.46 | $7.83 | $19.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.53 / $81.40 / $173.35
| Facility | | $36.53 | $81.40 | $173.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.48 / $12.12 / $36.51
| Professional | | $8.48 | $12.12 | $36.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.12 / $24.48 / $60.12
| Facility | | $12.12 | $24.48 | $60.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.85 / $21.48 / $28.40
| Professional | | $9.85 | $21.48 | $28.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.91 / $18.64 / $29.82
| Professional | | $14.91 | $18.64 | $29.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.91 / $18.64 / $40.64
| Professional | | $14.91 | $18.64 | $40.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.82 / $88.54 / $88.54
| Facility | | $29.82 | $88.54 | $88.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.12 / $18.64 / $44.80
| Facility | | $12.12 | $18.64 | $44.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $17.14 / $22.40
| Professional | | $10.44 | $17.14 | $22.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.91 / $16.70 / $20.87
| Professional | | $14.91 | $16.70 | $20.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $7.83 / $29.64
| Professional | | $7.83 | $7.83 | $29.64 |