- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $35.90 / $201.53
| Facility | | $8.76 | $35.90 | $201.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $19.34 / $24.10
| Professional | | $7.61 | $19.34 | $24.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $7.23 / $7.53
| Professional | | $5.79 | $7.23 | $7.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $36.78 / $66.53
| Facility | | $13.49 | $36.78 | $66.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.39 / $9.64
| Professional | | $5.00 | $6.39 | $9.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $18.07 / $42.70
| Facility | | $12.05 | $18.07 | $42.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.85 / $16.87
| Professional | | $8.44 | $10.85 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $11.81 / $11.81
| Facility | | $11.81 | $11.81 | $11.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.43 / $16.85 / $54.36
| Facility | | $7.43 | $16.85 | $54.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $6.82 / $22.81
| Professional | | $4.94 | $6.82 | $22.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.93 / $60.00 / $60.00
| Facility | | $20.93 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $12.05 / $19.85
| Professional | | $10.74 | $12.05 | $19.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $12.05 / $13.26
| Facility | | $8.76 | $12.05 | $13.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $12.05 / $21.81
| Professional | | $10.24 | $12.05 | $21.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.64 / $93.93 / $210.32
| Facility | | $68.64 | $93.93 | $210.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.07 / $12.05 / $16.03
| Facility | | $8.07 | $12.05 | $16.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $10.95 / $12.16
| Professional | | $6.11 | $10.95 | $12.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $4.84 / $11.53
| Professional | | $4.84 | $4.84 | $11.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $4.61 / $12.05
| Professional | | $4.50 | $4.61 | $12.05 |