- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $48.03 / $208.15
| Facility | | $9.77 | $48.03 | $208.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $11.20 / $14.88
| Professional | | $7.72 | $11.20 | $14.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $7.72 / $8.94
| Professional | | $6.18 | $7.72 | $8.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.96 / $42.47 / $77.48
| Facility | | $15.96 | $42.47 | $77.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.82 / $7.98
| Professional | | $5.00 | $6.82 | $7.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.89 / $19.30 / $90.23
| Facility | | $11.89 | $19.30 | $90.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $12.85 / $19.30
| Professional | | $10.30 | $12.85 | $19.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $18.02 / $18.02
| Facility | | $12.87 | $18.02 | $18.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.25 / $28.29 / $64.77
| Facility | | $10.25 | $28.29 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $14.42 / $27.11
| Professional | | $6.82 | $14.42 | $27.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.15 / $69.28 / $100.00
| Facility | | $55.15 | $69.28 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $16.29 / $22.56
| Professional | | $11.01 | $16.29 | $22.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.30 / $12.87 / $20.02
| Facility | | $10.30 | $12.87 | $20.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.81 / $12.87 / $14.16
| Professional | | $9.81 | $12.87 | $14.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.22 / $44.57 / $57.66
| Facility | | $31.22 | $44.57 | $57.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $12.87 / $32.38
| Facility | | $10.33 | $12.87 | $32.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $10.88 / $15.16
| Professional | | $6.82 | $10.88 | $15.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $10.52 / $13.49
| Professional | | $7.72 | $10.52 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $6.36 / $12.87
| Professional | | $6.36 | $6.36 | $12.87 |