- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $31.28 / $96.97
| Facility | | $11.51 | $31.28 | $96.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $12.09 / $15.82
| Professional | | $10.06 | $12.09 | $15.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $13.54 / $35.20
| Facility | | $13.54 | $13.54 | $35.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.19 / $30.56
| Professional | | $6.46 | $8.19 | $30.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $13.54 / $13.54
| Facility | | $8.11 | $13.54 | $13.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $13.54 / $13.54
| Professional | | $9.88 | $13.54 | $13.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $27.56 / $137.79
| Facility | | $9.46 | $27.56 | $137.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.98 / $15.34 / $65.26
| Professional | | $9.98 | $15.34 | $65.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $21.76 / $332.00
| Facility | | $13.54 | $21.76 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.19 / $8.11 / $24.78
| Professional | | $6.19 | $8.11 | $24.78 |
- 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 / $13.01 / $17.98
| Professional | | $10.61 | $13.01 | $17.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.68 / $30.60 / $60.46
| Facility | | $11.68 | $30.60 | $60.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $9.02 / $9.02
| Professional | | $9.02 | $9.02 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $33.20 / $180.66
| Facility | | $13.73 | $33.20 | $180.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $16.39 / $27.89
| Professional | | $10.87 | $16.39 | $27.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $8.11 / $20.52
| Professional | | $5.69 | $8.11 | $20.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.57 / $15.57 / $49.92
| Facility | | $15.57 | $15.57 | $49.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.94 / $14.64 / $22.01
| Professional | | $11.94 | $14.64 | $22.01 |