- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $26.61 / $45.97
| Facility | | $13.71 | $26.61 | $45.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.97 / $14.04 / $28.08
| Professional | | $11.97 | $14.04 | $28.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.13 / $16.13 / $41.94
| Facility | | $16.13 | $16.13 | $41.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.69 / $9.75 / $36.40
| Professional | | $7.69 | $9.75 | $36.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.68 / $16.13 / $16.13
| Facility | | $9.68 | $16.13 | $16.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.77 / $16.13 / $16.13
| Professional | | $11.77 | $16.13 | $16.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $33.39 / $164.77
| Facility | | $11.27 | $33.39 | $164.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.93 / $18.26 / $102.83
| Professional | | $11.93 | $18.26 | $102.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $22.66 / $332.00
| Facility | | $13.10 | $22.66 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $9.68 / $29.52
| Professional | | $7.37 | $9.68 | $29.52 |
- 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 / $15.32 / $21.39
| Professional | | $10.61 | $15.32 | $21.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.75 / $10.75 / $10.75
| Professional | | $10.75 | $10.75 | $10.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.72 / $39.15 / $216.04
| Facility | | $15.72 | $39.15 | $216.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.85 / $19.80 / $33.22
| Professional | | $12.85 | $19.80 | $33.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $9.68 / $24.20
| Professional | | $6.77 | $9.68 | $24.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.55 / $18.55 / $59.36
| Facility | | $18.55 | $18.55 | $59.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.55 / $17.45 / $22.01
| Professional | | $13.55 | $17.45 | $22.01 |