- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.55 / $28.48 / $47.74
| Facility | | $14.55 | $28.48 | $47.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.44 / $14.24 / $16.75
| Professional | | $12.44 | $14.24 | $16.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.75 / $16.75 / $43.55
| Facility | | $16.75 | $16.75 | $43.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.99 / $10.13 / $37.79
| Professional | | $7.99 | $10.13 | $37.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.05 / $16.75 / $16.75
| Facility | | $10.05 | $16.75 | $16.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $16.75 / $16.75
| Professional | | $12.23 | $16.75 | $16.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.70 / $33.90 / $170.76
| Facility | | $11.70 | $33.90 | $170.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.36 / $18.98 / $106.51
| Professional | | $12.36 | $18.98 | $106.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.60 / $23.45 / $332.00
| Facility | | $12.60 | $23.45 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $10.05 / $30.65
| Professional | | $6.70 | $10.05 | $30.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.24 / $16.75 / $22.01
| Professional | | $14.24 | $16.75 | $22.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.34 / $40.86 / $223.89
| Facility | | $16.34 | $40.86 | $223.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.44 / $20.80 / $34.51
| Professional | | $13.44 | $20.80 | $34.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $10.05 / $25.13
| Professional | | $7.04 | $10.05 | $25.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.26 / $19.26 / $61.74
| Facility | | $19.26 | $19.26 | $61.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.76 / $18.73 / $22.24
| Professional | | $14.76 | $18.73 | $22.24 |