- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.26 / $25.04 / $44.16
| Facility | | $11.26 | $25.04 | $44.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.84 / $11.54 / $12.51
| Professional | | $9.84 | $11.54 | $12.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $13.25 / $34.45
| Facility | | $13.25 | $13.25 | $34.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $8.01 / $29.89
| Professional | | $6.32 | $8.01 | $29.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.95 / $13.25 / $13.25
| Facility | | $7.95 | $13.25 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $13.25 / $13.25
| Professional | | $9.67 | $13.25 | $13.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $27.98 / $134.76
| Facility | | $9.26 | $27.98 | $134.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $14.98 / $86.30
| Professional | | $9.76 | $14.98 | $86.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $19.20 / $332.00
| Facility | | $11.10 | $19.20 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $7.89 / $24.25
| Professional | | $5.30 | $7.89 | $24.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $5.25
| Facility | | $5.25 | $5.25 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $12.59 / $15.97
| Professional | | $5.25 | $12.59 | $15.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.97 / $18.07 / $59.02
| Facility | | $10.97 | $18.07 | $59.02 |
- 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
- $10.63 / $15.28 / $27.30
| Professional | | $10.63 | $15.28 | $27.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.95 / $20.07
| Professional | | $5.57 | $7.95 | $20.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.24 / $15.24 / $48.81
| Facility | | $15.24 | $15.24 | $48.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $14.34 / $17.57
| Professional | | $10.82 | $14.34 | $17.57 |