- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.02 / $35.70 / $102.45
| Facility | | $13.02 | $35.70 | $102.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.61 / $13.89 / $27.58
| Professional | | $10.61 | $13.89 | $27.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.31 / $7.31 / $7.31
| Professional | | $7.31 | $7.31 | $7.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.32 / $15.32 / $39.83
| Facility | | $15.32 | $15.32 | $39.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $9.19 / $33.84
| Professional | | $6.82 | $9.19 | $33.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $15.32 / $15.32
| Facility | | $9.19 | $15.32 | $15.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $15.32 / $15.32
| Professional | | $11.18 | $15.32 | $15.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.70 / $31.10 / $153.63
| Facility | | $10.70 | $31.10 | $153.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $14.59 / $97.70
| Professional | | $11.50 | $14.59 | $97.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.10 / $19.92 / $332.00
| Facility | | $9.10 | $19.92 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $9.19 / $28.04
| Professional | | $7.00 | $9.19 | $28.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.32 / $15.32 / $15.32
| Facility | | $15.32 | $15.32 | $15.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.02 / $15.32 / $19.76
| Professional | | $13.02 | $15.32 | $19.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $22.76 / $70.13
| Facility | | $12.05 | $22.76 | $70.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $10.11
| Professional | | $10.11 | $10.11 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.94 / $37.47 / $208.19
| Facility | | $14.94 | $37.47 | $208.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $19.64 / $54.40
| Professional | | $12.30 | $19.64 | $54.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $9.19 / $24.55
| Professional | | $6.43 | $9.19 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.62 / $17.62 / $52.64
| Facility | | $17.62 | $17.62 | $52.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.91 / $16.86 / $28.09
| Professional | | $12.91 | $16.86 | $28.09 |