- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $17.82 / $29.01
| Facility | | $8.65 | $17.82 | $29.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $8.65 / $10.18
| Professional | | $5.62 | $8.65 | $10.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $10.18 / $26.47
| Facility | | $10.18 | $10.18 | $26.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.15 / $22.98
| Professional | | $4.86 | $6.15 | $22.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.11 / $10.18 / $10.18
| Facility | | $6.11 | $10.18 | $10.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $10.18 / $10.18
| Professional | | $7.43 | $10.18 | $10.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.11 / $20.50 / $104.82
| Facility | | $7.11 | $20.50 | $104.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $11.32 / $90.18
| Professional | | $7.59 | $11.32 | $90.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $16.80 / $332.00
| Facility | | $11.10 | $16.80 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $6.11 / $18.63
| Professional | | $4.07 | $6.11 | $18.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $10.18 / $13.52
| Professional | | $8.65 | $10.18 | $13.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.27 / $24.70 / $137.43
| Facility | | $12.27 | $24.70 | $137.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $14.00 / $45.00
| Professional | | $8.10 | $14.00 | $45.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $6.11 / $16.05
| Professional | | $4.28 | $6.11 | $16.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.71 / $11.71 / $37.54
| Facility | | $11.71 | $11.71 | $37.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.97 / $11.38 / $15.44
| Professional | | $8.97 | $11.38 | $15.44 |