- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.29 / $28.68 / $67.08
| Facility | | $11.29 | $28.68 | $67.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $11.97 / $17.47
| Professional | | $9.86 | $11.97 | $17.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.28 / $13.28 / $34.53
| Facility | | $13.28 | $13.28 | $34.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.34 / $8.02 / $29.96
| Professional | | $6.34 | $8.02 | $29.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.97 / $13.28 / $13.28
| Facility | | $7.97 | $13.28 | $13.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $13.28 / $13.28
| Professional | | $9.69 | $13.28 | $13.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $26.86 / $137.79
| Facility | | $9.27 | $26.86 | $137.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.98 / $14.98 / $86.30
| Professional | | $9.98 | $14.98 | $86.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $18.59 / $332.00
| Facility | | $10.60 | $18.59 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.07 / $7.97 / $24.30
| Professional | | $6.07 | $7.97 | $24.30 |
- 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 / $12.67 / $15.96
| Professional | | $10.61 | $12.67 | $15.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.06 / $16.20 / $50.29
| Facility | | $9.06 | $16.20 | $50.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $8.85 / $8.85
| Professional | | $8.76 | $8.85 | $8.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.36 / $180.66
| Facility | | $13.73 | $32.36 | $180.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.65 / $16.54 / $27.36
| Professional | | $10.65 | $16.54 | $27.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $7.97 / $20.13
| Professional | | $5.58 | $7.97 | $20.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.27 / $15.27 / $48.90
| Facility | | $15.27 | $15.27 | $48.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.71 / $13.92 / $17.62
| Professional | | $11.71 | $13.92 | $17.62 |