- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.45 / $49.55 / $157.51
| Facility | | $16.45 | $49.55 | $157.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.60 / $13.89 / $18.64
| Professional | | $9.60 | $13.89 | $18.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $9.35 / $9.35
| Professional | | $9.35 | $9.35 | $9.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.07 / $37.60 / $293.00
| Facility | | $17.07 | $37.60 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $12.28 / $51.38
| Professional | | $7.70 | $12.28 | $51.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.38 / $85.50 / $200.28
| Facility | | $40.38 | $85.50 | $200.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $13.80 / $74.83
| Professional | | $9.66 | $13.80 | $74.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $20.46 / $52.17
| Facility | | $10.79 | $20.46 | $52.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $11.63 / $25.87
| Professional | | $8.27 | $11.63 | $25.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.85 / $15.59 / $24.94
| Professional | | $13.85 | $15.59 | $24.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.47 / $15.59 / $34.29
| Professional | | $12.47 | $15.59 | $34.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $74.31 / $74.31
| Facility | | $55.00 | $74.31 | $74.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $9.35 / $9.35
| Professional | | $9.35 | $9.35 | $9.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.93 / $18.64 / $50.55
| Facility | | $12.93 | $18.64 | $50.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.43 / $15.59 / $31.18
| Professional | | $10.43 | $15.59 | $31.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.72 / $54.72 / $54.72
| Professional | | $54.72 | $54.72 | $54.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.47 / $14.13 / $19.39
| Professional | | $12.47 | $14.13 | $19.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.55 / $9.35 / $31.29
| Professional | | $6.55 | $9.35 | $31.29 |