- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.12 / $26.19 / $55.09
| Facility | | $11.12 | $26.19 | $55.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $11.98 / $13.73
| Professional | | $10.19 | $11.98 | $13.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $13.73 / $35.70
| Facility | | $13.73 | $13.73 | $35.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $8.30 / $31.00
| Professional | | $6.37 | $8.30 | $31.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.24 / $13.73 / $13.73
| Facility | | $8.24 | $13.73 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $13.73 / $13.73
| Professional | | $10.02 | $13.73 | $13.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $28.45 / $140.75
| Facility | | $9.60 | $28.45 | $140.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $15.34 / $87.17
| Professional | | $10.19 | $15.34 | $87.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.00 / $22.65 / $332.00
| Facility | | $15.00 | $22.65 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.27 / $8.24 / $25.13
| Professional | | $6.27 | $8.24 | $25.13 |
- 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 / $13.19 / $16.50
| Professional | | $10.61 | $13.19 | $16.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $37.19 / $61.16
| Facility | | $13.73 | $37.19 | $61.16 |
- 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
- $10.87 / $18.87 / $28.70
| Professional | | $10.87 | $18.87 | $28.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.36 / $12.36 / $13.73
| Facility | | $12.36 | $12.36 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $8.24 / $24.29
| Professional | | $5.77 | $8.24 | $24.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.79 / $15.79 / $41.27
| Facility | | $15.79 | $15.79 | $41.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.10 / $14.38 / $18.21
| Professional | | $12.10 | $14.38 | $18.21 |