- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.18 / $43.50 / $68.79
| Facility | | $9.18 | $43.50 | $68.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $9.09 / $19.47
| Professional | | $6.59 | $9.09 | $19.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $4.72 / $7.07
| Professional | | $3.93 | $4.72 | $7.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $18.96 / $293.00
| Facility | | $8.61 | $18.96 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.88 / $6.19 / $18.23
| Professional | | $3.88 | $6.19 | $18.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.36 / $61.30 / $103.32
| Facility | | $20.36 | $61.30 | $103.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.87 / $6.96 / $37.72
| Professional | | $4.87 | $6.96 | $37.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.45 / $10.32 / $26.32
| Facility | | $5.45 | $10.32 | $26.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $9.50 / $13.85
| Professional | | $5.09 | $9.50 | $13.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $7.86 / $12.58
| Professional | | $6.99 | $7.86 | $12.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $81.88 / $81.88 / $81.88
| Professional | | $81.88 | $81.88 | $81.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $7.86 / $17.13
| Professional | | $6.29 | $7.86 | $17.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.83 / $70.00 / $70.00
| Facility | | $25.83 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.71 / $4.71 / $4.71
| Professional | | $4.71 | $4.71 | $4.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.53 / $9.03 / $22.55
| Facility | | $6.53 | $9.03 | $22.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $7.86 / $15.72
| Professional | | $5.33 | $7.86 | $15.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.58 / $27.58 / $27.58
| Professional | | $27.58 | $27.58 | $27.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $7.86 / $11.00
| Professional | | $6.29 | $7.86 | $11.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.30 / $4.72 / $15.20
| Professional | | $3.30 | $4.72 | $15.20 |