- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.96 / $35.99 / $72.84
| Facility | | $15.96 | $35.99 | $72.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.76 / $17.00 / $32.36
| Professional | | $13.76 | $17.00 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.07 / $9.07 / $9.07
| Professional | | $9.07 | $9.07 | $9.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.04 / $19.04 / $49.50
| Facility | | $19.04 | $19.04 | $49.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $11.42 / $42.98
| Professional | | $8.40 | $11.42 | $42.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.42 / $19.04 / $19.04
| Facility | | $11.42 | $19.04 | $19.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.90 / $19.04 / $19.04
| Professional | | $13.90 | $19.04 | $19.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.30 / $38.86 / $194.71
| Facility | | $13.30 | $38.86 | $194.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.10 / $18.32 / $97.70
| Professional | | $14.10 | $18.32 | $97.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.10 / $27.85 / $332.00
| Facility | | $16.10 | $27.85 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $11.42 / $34.84
| Professional | | $8.69 | $11.42 | $34.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.04 / $19.04 / $19.04
| Facility | | $19.04 | $19.04 | $19.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.78 / $19.04 / $25.27
| Professional | | $16.78 | $19.04 | $25.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.32 / $56.54 / $92.09
| Facility | | $15.32 | $56.54 | $92.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.57 / $46.82 / $254.50
| Facility | | $18.57 | $46.82 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.28 / $25.47 / $39.22
| Professional | | $15.28 | $25.47 | $39.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $10.47 / $27.96
| Professional | | $8.00 | $10.47 | $27.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.90 / $21.90 / $70.13
| Facility | | $21.90 | $21.90 | $70.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.78 / $21.38 / $27.76
| Professional | | $16.78 | $21.38 | $27.76 |