- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.86 / $32.31 / $69.06
| Facility | | $13.86 | $32.31 | $69.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.06 / $15.34 / $18.05
| Professional | | $13.06 | $15.34 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $18.05 / $46.93
| Facility | | $18.05 | $18.05 | $46.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.92 / $35.82
| Professional | | $8.91 | $10.92 | $35.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $18.05 / $18.05
| Facility | | $10.83 | $18.05 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $18.05 / $18.05
| Professional | | $13.18 | $18.05 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.61 / $36.74 / $47.08
| Facility | | $12.61 | $36.74 | $47.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.45 / $20.46 / $87.00
| Professional | | $13.45 | $20.46 | $87.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.00 / $27.08 / $332.00
| Facility | | $16.00 | $27.08 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $10.74 / $33.03
| Professional | | $8.25 | $10.74 | $33.03 |
- 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 / $16.69 / $22.26
| Professional | | $10.61 | $16.69 | $22.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.20 / $51.51 / $62.30
| Facility | | $14.20 | $51.51 | $62.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.54 / $44.19 / $254.50
| Facility | | $16.54 | $44.19 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.88 / $21.29 / $36.86
| Professional | | $13.88 | $21.29 | $36.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $10.34 / $27.08
| Professional | | $7.58 | $10.34 | $27.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.76 / $20.76 / $32.56
| Facility | | $20.76 | $20.76 | $32.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.74 / $18.92 / $24.88
| Professional | | $14.74 | $18.92 | $24.88 |