- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.79 / $28.71 / $86.88
| Facility | | $12.79 | $28.71 | $86.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $13.58 / $26.08
| Professional | | $11.18 | $13.58 | $26.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $6.77 / $7.22
| Professional | | $6.77 | $6.77 | $7.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $15.05 / $39.13
| Facility | | $15.05 | $15.05 | $39.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $9.10 / $33.97
| Professional | | $7.18 | $9.10 | $33.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $15.05 / $15.05
| Facility | | $9.02 | $15.05 | $15.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.99 / $15.05 / $15.05
| Professional | | $10.99 | $15.05 | $15.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $31.62 / $155.75
| Facility | | $10.52 | $31.62 | $155.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $16.80 / $95.49
| Professional | | $11.28 | $16.80 | $95.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.60 / $22.58 / $332.00
| Facility | | $13.60 | $22.58 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.02 / $9.02 / $27.54
| Professional | | $6.02 | $9.02 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.79 / $15.05 / $19.98
| Professional | | $12.79 | $15.05 | $19.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $9.77
| Professional | | $9.77 | $9.77 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.85 / $37.61 / $112.80
| Facility | | $11.85 | $37.61 | $112.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.67 / $36.61 / $204.21
| Facility | | $14.67 | $36.61 | $204.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.06 / $20.00 / $31.00
| Professional | | $12.06 | $20.00 | $31.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $9.02 / $21.82
| Professional | | $6.32 | $9.02 | $21.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.30 / $17.30 / $55.43
| Facility | | $17.30 | $17.30 | $55.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.27 / $16.82 / $22.86
| Professional | | $13.27 | $16.82 | $22.86 |