- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $52.28 / $152.50
| Facility | | $10.85 | $52.28 | $152.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.05 / $47.00
| Professional | | $6.49 | $10.05 | $47.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $5.77 / $5.77
| Professional | | $5.77 | $5.77 | $5.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $27.81 / $293.00
| Facility | | $12.63 | $27.81 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $7.53 / $21.75
| Professional | | $5.70 | $7.53 | $21.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $68.79 / $120.71
| Facility | | $25.70 | $68.79 | $120.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.22 / $55.34
| Professional | | $5.75 | $8.22 | $55.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.99 / $15.13 / $38.57
| Facility | | $7.99 | $15.13 | $38.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $13.52 / $17.66
| Professional | | $7.43 | $13.52 | $17.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $11.53 / $18.45
| Professional | | $10.10 | $11.53 | $18.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $11.53 / $26.52
| Professional | | $9.22 | $11.53 | $26.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $100.00
| Facility | | $60.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $6.92
| Professional | | $6.92 | $6.92 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.36 / $11.68 / $29.14
| Facility | | $9.36 | $11.68 | $29.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $11.53 / $23.06
| Professional | | $7.65 | $11.53 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.47 / $40.47 / $40.47
| Professional | | $40.47 | $40.47 | $40.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $10.38 / $14.14
| Professional | | $9.22 | $10.38 | $14.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.86 / $22.15
| Professional | | $4.84 | $6.86 | $22.15 |