- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $24.32 / $78.51
| Facility | | $10.94 | $24.32 | $78.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $10.94 / $18.28
| Professional | | $9.55 | $10.94 | $18.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $12.87 / $33.46
| Facility | | $12.87 | $12.87 | $33.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $7.78 / $29.05
| Professional | | $6.14 | $7.78 | $29.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.72 / $12.87 / $12.87
| Facility | | $7.72 | $12.87 | $12.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.40 / $12.87 / $12.87
| Professional | | $9.40 | $12.87 | $12.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $26.15 / $131.80
| Facility | | $9.00 | $26.15 | $131.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.53 / $14.61 / $75.28
| Professional | | $9.53 | $14.61 | $75.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $18.02 / $332.00
| Facility | | $9.60 | $18.02 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.88 / $7.72 / $23.55
| Professional | | $5.88 | $7.72 | $23.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $12.87 / $12.87
| Facility | | $12.87 | $12.87 | $12.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $12.87 / $17.09
| Professional | | $11.35 | $12.87 | $17.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.50 / $8.50 / $8.50
| Facility | | $8.50 | $8.50 | $8.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $31.50 / $172.81
| Facility | | $13.73 | $31.50 | $172.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $17.69 / $34.14
| Professional | | $10.28 | $17.69 | $34.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.72 / $19.51
| Professional | | $5.41 | $7.72 | $19.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.80 / $14.80 / $47.42
| Facility | | $14.80 | $14.80 | $47.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $14.45 / $18.14
| Professional | | $11.35 | $14.45 | $18.14 |