- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.27 / $38.04 / $72.15
| Facility | | $15.27 | $38.04 | $72.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $16.05 / $17.62
| Professional | | $10.02 | $16.05 | $17.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $8.57 / $8.57
| Professional | | $8.57 | $8.57 | $8.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.98 / $17.98 / $46.75
| Facility | | $17.98 | $17.98 | $46.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $10.87 / $35.36
| Professional | | $8.88 | $10.87 | $35.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $17.98 / $17.98
| Facility | | $10.79 | $17.98 | $17.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.13 / $17.98 / $17.98
| Professional | | $13.13 | $17.98 | $17.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.57 / $36.74 / $145.07
| Facility | | $12.57 | $36.74 | $145.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.45 / $20.09 / $115.68
| Professional | | $13.45 | $20.09 | $115.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $23.37 / $332.00
| Facility | | $10.10 | $23.37 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $10.79 / $32.90
| Professional | | $7.19 | $10.79 | $32.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $15.68 / $19.39
| Professional | | $10.66 | $15.68 | $19.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.68 / $26.43 / $48.70
| Facility | | $14.68 | $26.43 | $48.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.54 / $44.27 / $243.46
| Facility | | $17.54 | $44.27 | $243.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.42 / $21.20 / $58.95
| Professional | | $14.42 | $21.20 | $58.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $10.37 / $27.87
| Professional | | $7.55 | $10.37 | $27.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.68 / $20.68 / $43.49
| Facility | | $20.68 | $20.68 | $43.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $17.07 / $21.61
| Professional | | $10.66 | $17.07 | $21.61 |