- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.55 / $31.40 / $56.29
| Facility | | $15.55 | $31.40 | $56.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.41 / $16.05 / $19.75
| Professional | | $13.41 | $16.05 | $19.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.75 / $19.75 / $51.35
| Facility | | $19.75 | $19.75 | $51.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $11.94 / $44.32
| Professional | | $8.92 | $11.94 | $44.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.85 / $19.75 / $19.75
| Facility | | $11.85 | $19.75 | $19.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.42 / $19.75 / $19.75
| Professional | | $14.42 | $19.75 | $19.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $40.27 / $185.69
| Facility | | $13.80 | $40.27 | $185.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.45 / $20.46 / $115.68
| Professional | | $13.45 | $20.46 | $115.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $26.86 / $332.00
| Facility | | $13.10 | $26.86 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $11.85 / $36.14
| Professional | | $9.02 | $11.85 | $36.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.75 / $19.75 / $19.75
| Facility | | $19.75 | $19.75 | $19.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.79 / $19.75 / $23.97
| Professional | | $16.79 | $19.75 | $23.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.19 / $40.00 / $49.53
| Facility | | $35.19 | $40.00 | $49.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.26 / $48.52 / $243.46
| Facility | | $19.26 | $48.52 | $243.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.43 / $24.82 / $39.60
| Professional | | $14.43 | $24.82 | $39.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $11.85 / $29.63
| Professional | | $8.30 | $11.85 | $29.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.71 / $22.71 / $66.50
| Facility | | $22.71 | $22.71 | $66.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $20.71 / $25.48
| Professional | | $16.30 | $20.71 | $25.48 |