- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.21 / $25.61 / $53.56
| Facility | | $10.21 | $25.61 | $53.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $10.73 / $12.01
| Professional | | $8.89 | $10.73 | $12.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $12.01 / $31.23
| Facility | | $12.01 | $12.01 | $31.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $7.26 / $27.11
| Professional | | $5.74 | $7.26 | $27.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.21 / $12.01 / $12.01
| Facility | | $7.21 | $12.01 | $12.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $12.01 / $12.01
| Professional | | $8.77 | $12.01 | $12.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $24.03 / $122.78
| Facility | | $8.40 | $24.03 | $122.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.52 / $82.67
| Professional | | $8.89 | $13.52 | $82.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $17.47 / $332.00
| Facility | | $10.10 | $17.47 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.49 / $7.21 / $21.98
| Professional | | $5.49 | $7.21 | $21.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $12.01 / $12.01
| Facility | | $12.01 | $12.01 | $12.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $12.01 / $15.96
| Professional | | $10.60 | $12.01 | $15.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $22.76 / $53.50
| Facility | | $9.67 | $22.76 | $53.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $28.95 / $160.97
| Facility | | $13.73 | $28.95 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $16.52 / $34.75
| Professional | | $9.64 | $16.52 | $34.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $7.21 / $17.64
| Professional | | $5.04 | $7.21 | $17.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.81 / $13.81 / $44.29
| Facility | | $13.81 | $13.81 | $44.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $13.49 / $18.21
| Professional | | $10.60 | $13.49 | $18.21 |