- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $22.25 / $37.31
| Facility | | $12.01 | $22.25 | $37.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.38 / $11.13 / $13.50
| Professional | | $9.38 | $11.13 | $13.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.09 / $13.09 / $34.03
| Facility | | $13.09 | $13.09 | $34.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $7.91 / $29.54
| Professional | | $6.04 | $7.91 | $29.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.85 / $13.09 / $13.09
| Facility | | $7.85 | $13.09 | $13.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $13.09 / $13.09
| Professional | | $9.56 | $13.09 | $13.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.15 / $26.86 / $134.76
| Facility | | $9.15 | $26.86 | $134.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $14.61 / $91.81
| Professional | | $9.76 | $14.61 | $91.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.60 / $20.16 / $332.00
| Facility | | $12.60 | $20.16 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $7.85 / $23.95
| Professional | | $5.24 | $7.85 | $23.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $13.20 / $16.84
| Professional | | $11.33 | $13.20 | $16.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.36 / $176.68
| Facility | | $13.73 | $32.36 | $176.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $17.37 / $26.97
| Professional | | $10.50 | $17.37 | $26.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.85 / $19.80
| Professional | | $5.50 | $7.85 | $19.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $15.05 / $52.22
| Facility | | $15.05 | $15.05 | $52.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.57 / $14.70 / $18.82
| Professional | | $11.57 | $14.70 | $18.82 |