- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $23.04 / $44.78
| Facility | | $10.52 | $23.04 | $44.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $11.22 / $12.87
| Professional | | $8.22 | $11.22 | $12.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $12.87 / $33.46
| Facility | | $12.87 | $12.87 | $33.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $7.72 / $27.17
| Professional | | $5.33 | $7.72 | $27.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.72 / $12.87 / $12.87
| Facility | | $7.72 | $12.87 | $12.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.40 / $12.87 / $12.87
| Professional | | $9.40 | $12.87 | $12.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $26.15 / $118.90
| Facility | | $9.00 | $26.15 | $118.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.53 / $14.61 / $82.64
| Professional | | $9.53 | $14.61 | $82.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $16.73 / $332.00
| Facility | | $6.50 | $16.73 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.88 / $7.72 / $23.55
| Professional | | $5.88 | $7.72 | $23.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $12.87 / $12.87
| Facility | | $12.87 | $12.87 | $12.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $12.87 / $17.09
| Professional | | $11.35 | $12.87 | $17.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $11.26 / $57.33
| Facility | | $10.36 | $11.26 | $57.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $31.50 / $172.81
| Facility | | $13.73 | $31.50 | $172.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $15.21 / $40.00
| Professional | | $10.28 | $15.21 | $40.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.72 / $18.66
| Professional | | $5.41 | $7.72 | $18.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.80 / $14.80 / $47.42
| Facility | | $14.80 | $14.80 | $47.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $14.45 / $17.95
| Professional | | $11.35 | $14.45 | $17.95 |