- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $27.72 / $62.79
| Facility | | $10.24 | $27.72 | $62.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $10.76 / $21.48
| Professional | | $7.83 | $10.76 | $21.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $31.33
| Facility | | $12.05 | $12.05 | $31.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $7.35 / $29.58
| Professional | | $5.95 | $7.35 | $29.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.86 / $12.05 / $25.93
| Facility | | $10.86 | $12.05 | $25.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $25.93
| Professional | | $12.05 | $12.05 | $25.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $25.45 / $122.78
| Facility | | $8.42 | $25.45 | $122.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $21.97 / $85.69
| Professional | | $9.27 | $21.97 | $85.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $16.61 / $332.00
| Facility | | $8.10 | $16.61 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $7.23 / $22.05
| Professional | | $4.82 | $7.23 | $22.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $11.57 / $15.33
| Professional | | $9.64 | $11.57 | $15.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $8.44 / $8.44
| Professional | | $8.44 | $8.44 | $8.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.72 / $16.43 / $36.75
| Facility | | $8.72 | $16.43 | $36.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $29.81 / $160.97
| Facility | | $13.73 | $29.81 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.46 / $21.48 / $44.10
| Professional | | $13.46 | $21.48 | $44.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $7.23 / $20.71
| Professional | | $5.05 | $7.23 | $20.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.86 / $13.86 / $44.40
| Facility | | $13.86 | $13.86 | $44.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $13.47 / $16.00
| Professional | | $10.62 | $13.47 | $16.00 |