- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $23.22 / $93.90
| Facility | | $9.00 | $23.22 | $93.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $10.11 / $13.87
| Professional | | $8.61 | $10.11 | $13.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $6.97 / $8.06
| Professional | | $6.97 | $6.97 | $8.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.72 / $28.00 / $293.00
| Facility | | $12.72 | $28.00 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $9.14 / $26.98
| Professional | | $5.73 | $9.14 | $26.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.07 / $77.00 / $150.66
| Facility | | $30.07 | $77.00 | $150.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $10.28 / $55.73
| Professional | | $7.20 | $10.28 | $55.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $15.25 / $38.88
| Facility | | $8.02 | $15.25 | $38.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $14.03 / $20.48
| Professional | | $7.64 | $14.03 | $20.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.21 / $11.61 / $18.57
| Professional | | $10.21 | $11.61 | $18.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $11.61 / $26.70
| Professional | | $9.28 | $11.61 | $26.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.00 / $70.00 / $100.00
| Facility | | $68.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.45 / $14.51 / $21.89
| Professional | | $10.45 | $14.51 | $21.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.96 / $6.96 / $6.96
| Professional | | $6.96 | $6.96 | $6.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.63 / $13.87 / $38.25
| Facility | | $9.63 | $13.87 | $38.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $11.61 / $23.22
| Professional | | $7.65 | $11.61 | $23.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.75 / $40.75 / $40.75
| Professional | | $40.75 | $40.75 | $40.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $11.61 / $16.25
| Professional | | $9.28 | $11.61 | $16.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.90 / $21.35
| Professional | | $4.88 | $6.90 | $21.35 |