- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.83 / $63.07 / $145.54
| Facility | | $13.83 | $63.07 | $145.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $12.28 / $16.07
| Professional | | $9.00 | $12.28 | $16.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $9.41
| Professional | | $8.11 | $8.11 | $9.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.84 / $32.65 / $293.00
| Facility | | $14.84 | $32.65 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.69 / $14.46 / $26.42
| Professional | | $6.69 | $14.46 | $26.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.29 / $84.90 / $173.52
| Facility | | $38.29 | $84.90 | $173.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $12.00 / $64.98
| Professional | | $8.40 | $12.00 | $64.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $19.45 / $46.74
| Facility | | $9.46 | $19.45 | $46.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $16.22 / $21.35
| Professional | | $9.03 | $16.22 | $21.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.04 / $13.54 / $21.66
| Professional | | $12.04 | $13.54 | $21.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $13.54 / $29.79
| Professional | | $10.83 | $13.54 | $29.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $64.31 / $64.31
| Facility | | $50.00 | $64.31 | $64.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.12 / $8.12 / $8.12
| Professional | | $8.12 | $8.12 | $8.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.25 / $14.22 / $33.85
| Facility | | $11.25 | $14.22 | $33.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $13.63 / $21.35
| Professional | | $9.52 | $13.63 | $21.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.52 / $47.52 / $47.52
| Professional | | $47.52 | $47.52 | $47.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $12.28 / $16.86
| Professional | | $10.83 | $12.28 | $16.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $7.74 / $24.89
| Professional | | $5.69 | $7.74 | $24.89 |