- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.13 / $25.31 / $61.86
| Facility | | $9.13 | $25.31 | $61.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $9.33 / $9.84
| Professional | | $8.06 | $9.33 | $9.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $10.74 / $27.92
| Facility | | $10.74 | $10.74 | $27.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.82 / $6.02 / $19.23
| Professional | | $3.82 | $6.02 | $19.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.44 / $10.74 / $10.74
| Facility | | $6.44 | $10.74 | $10.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $10.74 / $10.74
| Professional | | $7.84 | $10.74 | $10.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $21.90 / $80.98
| Facility | | $7.51 | $21.90 | $80.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $12.05 / $69.77
| Professional | | $8.02 | $12.05 | $69.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $15.04 / $332.00
| Facility | | $8.10 | $15.04 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.91 / $6.44 / $19.64
| Professional | | $4.91 | $6.44 | $19.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.18 / $8.18 / $8.18
| Facility | | $8.18 | $8.18 | $8.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.18 / $10.19 / $12.91
| Professional | | $8.18 | $10.19 | $12.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $6.54 / $7.52
| Professional | | $4.09 | $6.54 | $7.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $26.00 / $47.84
| Facility | | $8.52 | $26.00 | $47.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.12 / $26.39 / $145.28
| Facility | | $13.12 | $26.39 | $145.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.50 / $12.67 / $22.12
| Professional | | $8.50 | $12.67 | $22.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.44 / $16.64
| Professional | | $4.51 | $6.44 | $16.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $12.35 / $41.98
| Facility | | $12.35 | $12.35 | $41.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $10.93 / $12.98
| Professional | | $8.83 | $10.93 | $12.98 |