- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $35.48 / $102.33
| Facility | | $8.91 | $35.48 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.55 / $15.14
| Professional | | $7.08 | $9.55 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.08 / $8.32
| Professional | | $5.75 | $7.08 | $8.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $40.74 / $72.44
| Facility | | $15.85 | $40.74 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.61 / $11.75
| Professional | | $5.01 | $6.61 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $17.38 / $56.23
| Facility | | $10.96 | $17.38 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $12.30 / $19.05
| Professional | | $8.32 | $12.30 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $13.80
| Facility | | $12.02 | $12.02 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $24.55 / $60.26
| Facility | | $10.72 | $24.55 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $8.51 / $20.42
| Professional | | $6.31 | $8.51 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $85.11 / $85.11
| Facility | | $85.11 | $85.11 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $12.02 / $56.23
| Facility | | $8.91 | $12.02 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.72 / $15.49
| Professional | | $7.08 | $10.72 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.00 / $10.00
| Professional | | $8.91 | $10.00 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $12.02 / $34.67
| Facility | | $9.55 | $12.02 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.71 / $20.42
| Professional | | $6.76 | $8.71 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $7.08 / $12.02
| Facility | | $4.27 | $7.08 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $10.47
| Professional | | $5.01 | $7.08 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $4.68 / $12.02
| Professional | | $4.68 | $4.68 | $12.02 |