- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $34.72 / $85.72
| Facility | | $14.32 | $34.72 | $85.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $12.95 / $15.08
| Professional | | $9.80 | $12.95 | $15.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $15.08 / $39.21
| Facility | | $15.08 | $15.08 | $39.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $9.11 / $34.02
| Professional | | $7.19 | $9.11 | $34.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.05 / $15.08 / $15.08
| Facility | | $9.05 | $15.08 | $15.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $15.08 / $15.08
| Professional | | $11.01 | $15.08 | $15.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.54 / $31.85 / $155.75
| Facility | | $10.54 | $31.85 | $155.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $16.80 / $97.33
| Professional | | $11.28 | $16.80 | $97.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.10 / $21.11 / $332.00
| Facility | | $12.10 | $21.11 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.89 / $9.05 / $27.60
| Professional | | $6.89 | $9.05 | $27.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.47 / $11.47 / $11.47
| Facility | | $11.47 | $11.47 | $11.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $14.48 / $20.01
| Professional | | $11.47 | $14.48 | $20.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.28 / $31.86 / $67.17
| Facility | | $13.28 | $31.86 | $67.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.70 / $36.61 / $204.21
| Facility | | $14.70 | $36.61 | $204.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $13.23 / $31.06
| Professional | | $9.00 | $13.23 | $31.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $9.05 / $23.67
| Professional | | $6.33 | $9.05 | $23.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.34 / $17.34 / $55.53
| Facility | | $17.34 | $17.34 | $55.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.28 / $16.30 / $22.11
| Professional | | $13.28 | $16.30 | $22.11 |