- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.88 / $50.81 / $116.25
| Facility | | $11.88 | $50.81 | $116.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.49 / $10.35 / $45.15
| Professional | | $7.49 | $10.35 | $45.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $7.82 / $7.82
| Professional | | $7.82 | $7.82 | $7.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.34 / $27.16 / $293.00
| Facility | | $12.34 | $27.16 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.56 / $8.86 / $25.60
| Professional | | $5.56 | $8.86 | $25.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.16 / $75.70 / $146.29
| Facility | | $29.16 | $75.70 | $146.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $9.96 / $54.05
| Professional | | $6.97 | $9.96 | $54.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.80 / $14.79 / $37.70
| Facility | | $7.80 | $14.79 | $37.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.42 / $13.63 / $17.66
| Professional | | $7.42 | $13.63 | $17.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.01 / $11.26 / $18.02
| Professional | | $10.01 | $11.26 | $18.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $11.26 / $25.00
| Professional | | $9.01 | $11.26 | $25.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $100.00
| Facility | | $60.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $6.75 / $6.75
| Professional | | $6.75 | $6.75 | $6.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.34 / $11.82 / $29.02
| Facility | | $9.34 | $11.82 | $29.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.31 / $11.26 / $22.52
| Professional | | $8.31 | $11.26 | $22.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.52 / $39.52 / $39.52
| Professional | | $39.52 | $39.52 | $39.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $10.21 / $14.01
| Professional | | $9.01 | $10.21 | $14.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $6.76 / $22.64
| Professional | | $4.73 | $6.76 | $22.64 |