- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.59 / $37.93 / $93.29
| Facility | | $10.59 | $37.93 | $93.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $9.77 / $38.84
| Professional | | $8.44 | $9.77 | $38.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.92 / $30.63 / $293.00
| Facility | | $13.92 | $30.63 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.23 / $7.62 / $25.75
| Professional | | $5.23 | $7.62 | $25.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.76 / $71.20 / $130.38
| Facility | | $27.76 | $71.20 | $130.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $6.89 / $60.96
| Professional | | $4.82 | $6.89 | $60.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $16.44 / $41.59
| Facility | | $8.26 | $16.44 | $41.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $14.46 / $20.69
| Professional | | $7.36 | $14.46 | $20.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $12.70 / $20.32
| Professional | | $9.69 | $12.70 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $12.70 / $27.69
| Professional | | $10.16 | $12.70 | $27.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $70.00
| Facility | | $55.00 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $6.35 / $6.35
| Professional | | $6.35 | $6.35 | $6.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $12.89 / $30.12
| Facility | | $8.86 | $12.89 | $30.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $12.70 / $21.99
| Professional | | $7.43 | $12.70 | $21.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.57 / $44.57 / $44.57
| Professional | | $44.57 | $44.57 | $44.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $12.70 / $17.78
| Professional | | $10.16 | $12.70 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.72 / $6.99 / $7.62
| Facility | | $5.72 | $6.99 | $7.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.62 / $8.52 / $21.42
| Professional | | $7.62 | $8.52 | $21.42 |