- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.00 / $20.27 / $33.00
| Facility | | $11.00 | $20.27 | $33.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $10.30 / $16.17
| Professional | | $8.59 | $10.30 | $16.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.58 / $11.58 / $30.11
| Facility | | $11.58 | $11.58 | $30.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.52 / $7.00 / $26.12
| Professional | | $5.52 | $7.00 | $26.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.95 / $11.58 / $11.58
| Facility | | $6.95 | $11.58 | $11.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $11.58 / $11.58
| Professional | | $8.44 | $11.58 | $11.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.09 / $23.31 / $119.83
| Facility | | $8.09 | $23.31 | $119.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $13.15 / $55.82
| Professional | | $8.68 | $13.15 | $55.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $16.61 / $332.00
| Facility | | $9.60 | $16.61 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.29 / $6.95 / $21.19
| Professional | | $5.29 | $6.95 | $21.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.58 / $11.58 / $11.58
| Facility | | $11.58 | $11.58 | $11.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $11.58 / $15.36
| Professional | | $10.19 | $11.58 | $15.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $28.09 / $157.11
| Facility | | $13.73 | $28.09 | $157.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $15.91 / $23.85
| Professional | | $9.28 | $15.91 | $23.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.53 / $7.94 / $8.73
| Facility | | $7.53 | $7.94 | $8.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.95 / $17.37
| Professional | | $4.86 | $6.95 | $17.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.32 / $13.32 / $53.28
| Facility | | $13.32 | $13.32 | $53.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $13.01 / $15.62
| Professional | | $10.19 | $13.01 | $15.62 |