- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $71.31 / $157.50
| Facility | | $9.27 | $71.31 | $157.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.30 / $29.88
| Professional | | $8.44 | $10.30 | $29.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $5.72 / $7.94
| Professional | | $3.09 | $5.72 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.52 / $27.57 / $293.00
| Facility | | $12.52 | $27.57 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $9.01 / $29.31
| Professional | | $5.64 | $9.01 | $29.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.60 / $75.90 / $148.61
| Facility | | $29.60 | $75.90 | $148.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.11 / $54.86
| Professional | | $7.08 | $10.11 | $54.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.91 / $15.01 / $38.26
| Facility | | $7.91 | $15.01 | $38.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $13.63 / $18.88
| Professional | | $7.64 | $13.63 | $18.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $11.43 / $18.29
| Professional | | $8.00 | $11.43 | $18.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.14 / $11.43 / $25.15
| Professional | | $9.14 | $11.43 | $25.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.00 / $60.00 / $100.00
| Facility | | $56.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $14.29 / $21.89
| Professional | | $10.29 | $14.29 | $21.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $6.86 / $6.86
| Professional | | $6.86 | $6.86 | $6.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.48 / $13.72 / $36.40
| Facility | | $9.48 | $13.72 | $36.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $11.49 / $22.86
| Professional | | $7.65 | $11.49 | $22.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.11 / $40.11 / $40.11
| Professional | | $40.11 | $40.11 | $40.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.14 / $11.43 / $16.00
| Professional | | $9.14 | $11.43 | $16.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $6.71 / $21.96
| Professional | | $4.80 | $6.71 | $21.96 |