- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.56 / $29.01 / $51.58
| Facility | | $12.56 | $29.01 | $51.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $13.17 / $14.78
| Professional | | $10.98 | $13.17 | $14.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.78 / $14.78 / $38.43
| Facility | | $14.78 | $14.78 | $38.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.06 / $8.94 / $33.36
| Professional | | $7.06 | $8.94 | $33.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $14.78 / $14.78
| Facility | | $8.86 | $14.78 | $14.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.79 / $14.78 / $14.78
| Professional | | $10.79 | $14.78 | $14.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $29.67 / $152.72
| Facility | | $10.32 | $29.67 | $152.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.06 / $16.80 / $95.49
| Professional | | $11.06 | $16.80 | $95.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.10 / $19.21 / $332.00
| Facility | | $9.10 | $19.21 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $8.86 / $27.05
| Professional | | $6.75 | $8.86 | $27.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.09 / $9.09 / $9.09
| Facility | | $9.09 | $9.09 | $9.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.09 / $14.04 / $19.63
| Professional | | $9.09 | $14.04 | $19.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $13.02 / $124.02
| Facility | | $9.75 | $13.02 | $124.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.42 / $35.75 / $200.23
| Facility | | $14.42 | $35.75 | $200.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.86 / $20.32 / $30.45
| Professional | | $11.86 | $20.32 | $30.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.21 / $8.86 / $22.18
| Professional | | $6.21 | $8.86 | $22.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.00 / $17.00 / $54.47
| Facility | | $17.00 | $17.00 | $54.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.07 / $15.98 / $20.22
| Professional | | $12.07 | $15.98 | $20.22 |