- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.38 / $25.95 / $178.74
| Facility | | $10.38 | $25.95 | $178.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.69 / $9.99 / $16.48
| Professional | | $7.69 | $9.99 | $16.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.16 / $45.28 / $82.24
| Facility | | $17.16 | $45.28 | $82.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.28 / $12.22
| Professional | | $5.00 | $7.28 | $12.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $21.28 / $84.23
| Facility | | $13.73 | $21.28 | $84.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $13.54 / $19.22
| Professional | | $9.61 | $13.54 | $19.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $13.73 / $15.83
| Facility | | $13.73 | $13.73 | $15.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $28.67 / $63.68
| Facility | | $9.60 | $28.67 | $63.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $9.39 / $22.00
| Professional | | $7.28 | $9.39 | $22.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $65.22 / $65.22
| Facility | | $50.00 | $65.22 | $65.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $13.73 / $15.10
| Facility | | $10.00 | $13.73 | $15.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.36 / $13.73 / $17.89
| Professional | | $12.36 | $13.73 | $17.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $13.73 / $37.89
| Facility | | $10.00 | $13.73 | $37.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $10.57 / $19.67
| Professional | | $7.28 | $10.57 | $19.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $7.87 / $11.36
| Professional | | $5.77 | $7.87 | $11.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.35 / $6.78 / $13.73
| Professional | | $5.35 | $6.78 | $13.73 |