- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $36.13 / $95.12
| Facility | | $11.53 | $36.13 | $95.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $11.53 / $89.19
| Professional | | $9.67 | $11.53 | $89.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.11 / $5.19 / $5.53
| Professional | | $3.11 | $5.19 | $5.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $11.53 / $29.98
| Facility | | $11.53 | $11.53 | $29.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $6.91 / $22.14
| Professional | | $4.42 | $6.91 | $22.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $11.53 / $11.53
| Facility | | $6.92 | $11.53 | $11.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $11.53 / $11.53
| Professional | | $8.42 | $11.53 | $11.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $23.31 / $94.03
| Facility | | $8.06 | $23.31 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $16.07 / $25.35
| Professional | | $8.86 | $16.07 | $25.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $16.14 / $332.00
| Facility | | $8.60 | $16.14 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.27 / $9.52 / $21.10
| Professional | | $5.27 | $9.52 | $21.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $11.53 / $13.86
| Professional | | $9.80 | $11.53 | $13.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.49 / $7.49 / $7.49
| Professional | | $7.49 | $7.49 | $7.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.91 / $20.00 / $51.36
| Facility | | $7.91 | $20.00 | $51.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $28.09 / $157.11
| Facility | | $13.73 | $28.09 | $157.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $16.07 / $39.36
| Professional | | $9.19 | $16.07 | $39.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.92 / $16.93
| Professional | | $4.84 | $6.92 | $16.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.26 / $13.26 / $42.22
| Facility | | $13.26 | $13.26 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $12.81 / $15.21
| Professional | | $10.10 | $12.81 | $15.21 |