- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $24.08 / $40.95
| Facility | | $11.15 | $24.08 | $40.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.26 / $13.76
| Professional | | $8.71 | $12.26 | $13.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.76 / $13.76 / $35.78
| Facility | | $13.76 | $13.76 | $35.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $8.25 / $29.04
| Professional | | $5.70 | $8.25 | $29.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $13.76 / $13.76
| Facility | | $8.26 | $13.76 | $13.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.03 / $13.76 / $13.76
| Professional | | $10.03 | $13.76 | $13.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $27.56 / $126.10
| Facility | | $9.61 | $27.56 | $126.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $15.34 / $88.13
| Professional | | $10.19 | $15.34 | $88.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.60 / $20.64 / $332.00
| Facility | | $12.60 | $20.64 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $8.26 / $25.18
| Professional | | $6.29 | $8.26 | $25.18 |
- 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 / $13.22 / $18.27
| Professional | | $10.61 | $13.22 | $18.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.38 / $15.29 / $81.18
| Facility | | $9.38 | $15.29 | $81.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $9.16 / $9.16
| Professional | | $9.16 | $9.16 | $9.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $33.20 / $184.53
| Facility | | $13.73 | $33.20 | $184.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $15.34 / $28.35
| Professional | | $11.04 | $15.34 | $28.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $8.26 / $20.64
| Professional | | $5.78 | $8.26 | $20.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.82 / $15.82 / $50.71
| Facility | | $15.82 | $15.82 | $50.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.13 / $14.89 / $23.01
| Professional | | $12.13 | $14.89 | $23.01 |