- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.16 / $32.61 / $60.58
| Facility | | $10.16 | $32.61 | $60.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $12.43 / $18.64
| Professional | | $10.16 | $12.43 | $18.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $18.64 / $48.46
| Facility | | $18.64 | $18.64 | $48.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $11.18 / $34.07
| Professional | | $7.46 | $11.18 | $34.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.18 / $18.64 / $18.64
| Facility | | $11.18 | $18.64 | $18.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $18.64 / $18.64
| Professional | | $13.61 | $18.64 | $18.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.03 / $37.46 / $48.00
| Facility | | $13.03 | $37.46 | $48.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $18.01 / $89.84
| Professional | | $10.44 | $18.01 | $89.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.74 / $26.10 / $332.00
| Facility | | $15.74 | $26.10 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $11.09 / $34.86
| Professional | | $7.46 | $11.09 | $34.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.67 / $17.71 / $21.09
| Professional | | $11.67 | $17.71 | $21.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $12.41 / $52.00
| Facility | | $12.30 | $12.41 | $52.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.09 / $45.13 / $254.50
| Facility | | $17.09 | $45.13 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.12 / $17.82 / $28.89
| Professional | | $12.12 | $17.82 | $28.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $16.78 / $18.64
| Facility | | $16.78 | $16.78 | $18.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.18 / $27.96
| Professional | | $7.83 | $11.18 | $27.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.44 / $21.44 / $26.08
| Facility | | $21.44 | $21.44 | $26.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.67 / $18.64 / $22.40
| Professional | | $11.67 | $18.64 | $22.40 |