- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.36 / $51.56 / $234.55
| Facility | | $9.36 | $51.56 | $234.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $9.85 / $21.00
| Professional | | $7.55 | $9.85 | $21.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $12.60 / $12.60
| Professional | | $12.60 | $12.60 | $12.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.23 / $38.56 / $70.69
| Facility | | $13.23 | $38.56 | $70.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.68 / $8.57
| Professional | | $5.00 | $6.68 | $8.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.64 / $20.16 / $51.57
| Facility | | $11.64 | $20.16 | $51.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $12.60 / $20.16
| Professional | | $8.82 | $12.60 | $20.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.60 / $13.23 / $13.23
| Facility | | $12.60 | $13.23 | $13.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $26.37 / $55.86
| Facility | | $8.75 | $26.37 | $55.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.68 / $10.65 / $19.14
| Professional | | $6.68 | $10.65 | $19.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.73 / $14.23 / $20.93
| Professional | | $10.73 | $14.23 | $20.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.18 / $12.60 / $32.00
| Facility | | $9.18 | $12.60 | $32.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.71 / $12.60 / $17.01
| Professional | | $10.71 | $12.60 | $17.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.18 / $12.60 / $30.35
| Facility | | $9.18 | $12.60 | $30.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.68 / $10.65 / $15.78
| Professional | | $6.68 | $10.65 | $15.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.29 / $6.28 / $7.56
| Professional | | $5.29 | $6.28 | $7.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.38 / $5.38 / $12.60
| Professional | | $5.38 | $5.38 | $12.60 |