- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.24 / $32.61 / $56.20
| Facility | | $15.24 | $32.61 | $56.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $12.26 / $15.84
| Professional | | $9.88 | $12.26 | $15.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $18.64 / $48.46
| Facility | | $18.64 | $18.64 | $48.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $9.65 / $34.07
| Professional | | $7.46 | $9.65 | $34.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.18 / $18.64 / $18.64
| Facility | | $11.18 | $18.64 | $18.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $18.64 / $18.64
| Professional | | $13.61 | $18.64 | $18.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.88 / $24.12 / $45.80
| Facility | | $9.88 | $24.12 | $45.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $26.85 / $89.84
| Professional | | $10.44 | $26.85 | $89.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.57 / $26.84 / $332.00
| Facility | | $16.57 | $26.84 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $11.00 / $34.86
| Professional | | $7.46 | $11.00 | $34.86 |
- 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 / $15.84 / $20.93
| Professional | | $10.61 | $15.84 | $20.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.60 / $30.60 / $30.60
| Facility | | $30.60 | $30.60 | $30.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.03 / $33.77 / $555.00
| Facility | | $13.03 | $33.77 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.12 / $17.82 / $38.40
| Professional | | $12.12 | $17.82 | $38.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $16.78 / $18.64
| Facility | | $16.78 | $16.78 | $18.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.18 / $27.38
| Professional | | $7.83 | $11.18 | $27.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.44 / $21.44 / $26.35
| Facility | | $21.44 | $21.44 | $26.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.67 / $17.71 / $22.40
| Professional | | $11.67 | $17.71 | $22.40 |