- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.09 / $38.61 / $65.48
| Facility | | $16.09 | $38.61 | $65.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.52 / $15.21 / $22.98
| Professional | | $12.52 | $15.21 | $22.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.98 / $22.98 / $59.75
| Facility | | $22.98 | $22.98 | $59.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.21 / $11.71 / $40.28
| Professional | | $8.21 | $11.71 | $40.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.79 / $22.98 / $22.98
| Facility | | $13.79 | $22.98 | $22.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.78 / $22.98 / $22.98
| Professional | | $16.78 | $22.98 | $22.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.05 / $46.65 / $181.31
| Facility | | $16.05 | $46.65 | $181.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.97 / $23.38 / $192.38
| Professional | | $12.97 | $23.38 | $192.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.60 / $34.47 / $332.00
| Facility | | $20.60 | $34.47 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $13.79 / $42.05
| Professional | | $10.50 | $13.79 | $42.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.14 / $14.14 / $14.14
| Facility | | $14.14 | $14.14 | $14.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.14 / $18.86 / $25.81
| Professional | | $14.14 | $18.86 | $25.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.27 / $18.27 / $123.20
| Facility | | $18.27 | $18.27 | $123.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.05 / $56.20 / $251.31
| Facility | | $20.05 | $56.20 | $251.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.44 / $26.43 / $130.00
| Professional | | $13.44 | $26.43 | $130.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.65 / $13.79 / $35.61
| Professional | | $9.65 | $13.79 | $35.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.43 / $26.43 / $91.71
| Facility | | $26.43 | $26.43 | $91.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.24 / $21.83 / $27.62
| Professional | | $15.24 | $21.83 | $27.62 |