- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.03 / $18.60 / $30.30
| Facility | | $9.03 | $18.60 | $30.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $9.03 / $10.63
| Professional | | $7.72 | $9.03 | $10.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.63 / $10.63 / $27.64
| Facility | | $10.63 | $10.63 | $27.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $6.37 / $23.47
| Professional | | $4.96 | $6.37 | $23.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.38 / $10.63 / $10.63
| Facility | | $6.38 | $10.63 | $10.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $10.63 / $10.63
| Professional | | $7.76 | $10.63 | $10.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.43 / $22.28 / $107.85
| Facility | | $7.43 | $22.28 | $107.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.81 / $11.69 / $66.11
| Professional | | $7.81 | $11.69 | $66.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $14.88 / $332.00
| Facility | | $8.60 | $14.88 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.38 / $19.45
| Professional | | $4.86 | $6.38 | $19.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.63 / $10.63 / $10.63
| Facility | | $10.63 | $10.63 | $10.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.17 / $10.63 / $13.71
| Professional | | $9.17 | $10.63 | $13.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.94 / $18.94 / $104.80
| Facility | | $18.94 | $18.94 | $104.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.80 / $25.54 / $141.41
| Facility | | $12.80 | $25.54 | $141.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $11.69 / $21.90
| Professional | | $8.30 | $11.69 | $21.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.46 / $6.38 / $17.00
| Professional | | $4.46 | $6.38 | $17.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.22 / $12.22 / $38.29
| Facility | | $12.22 | $12.22 | $38.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.17 / $11.94 / $13.80
| Professional | | $9.17 | $11.94 | $13.80 |