- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.67 / $21.28 / $35.68
| Facility | | $10.67 | $21.28 | $35.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $9.77 / $12.52
| Professional | | $9.11 | $9.77 | $12.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.52 / $12.52 / $32.54
| Facility | | $12.52 | $12.52 | $32.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.86 / $7.57 / $28.26
| Professional | | $5.86 | $7.57 | $28.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $12.52 / $12.52
| Facility | | $7.51 | $12.52 | $12.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.14 / $12.52 / $12.52
| Professional | | $9.14 | $12.52 | $12.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $26.46 / $128.77
| Facility | | $8.75 | $26.46 | $128.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $14.25 / $75.28
| Professional | | $9.33 | $14.25 | $75.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $16.28 / $332.00
| Facility | | $7.00 | $16.28 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $7.51 / $22.91
| Professional | | $5.72 | $7.51 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.52 / $12.52 / $12.52
| Facility | | $12.52 | $12.52 | $12.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $12.52 / $16.63
| Professional | | $11.04 | $12.52 | $16.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.00 / $51.00 / $51.00
| Facility | | $51.00 | $51.00 | $51.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $30.64 / $168.83
| Facility | | $13.73 | $30.64 | $168.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.05 / $16.00 / $25.79
| Professional | | $10.05 | $16.00 | $25.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.26 / $7.51 / $20.53
| Professional | | $5.26 | $7.51 | $20.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.40 / $14.40 / $46.14
| Facility | | $14.40 | $14.40 | $46.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $14.06 / $18.98
| Professional | | $11.04 | $14.06 | $18.98 |