- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.56 / $32.25 / $74.06
| Facility | | $14.56 | $32.25 | $74.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.56 / $15.07 / $30.28
| Professional | | $12.56 | $15.07 | $30.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.91 / $16.91 / $43.97
| Facility | | $16.91 | $16.91 | $43.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $10.31 / $40.94
| Professional | | $8.35 | $10.31 | $40.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.15 / $16.91 / $16.91
| Facility | | $10.15 | $16.91 | $16.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.34 / $16.91 / $16.91
| Professional | | $12.34 | $16.91 | $16.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $35.72 / $173.72
| Facility | | $11.81 | $35.72 | $173.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.58 / $18.98 / $106.51
| Professional | | $12.58 | $18.98 | $106.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.60 / $25.26 / $332.00
| Facility | | $14.60 | $25.26 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $10.06 / $30.95
| Professional | | $6.76 | $10.06 | $30.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Facility | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $16.05 / $20.32
| Professional | | $5.05 | $16.05 | $20.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.72 / $43.10 / $75.33
| Facility | | $21.72 | $43.10 | $75.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.48 / $40.86 / $227.76
| Facility | | $16.48 | $40.86 | $227.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.44 / $23.25 / $40.00
| Professional | | $13.44 | $23.25 | $40.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $10.15 / $27.65
| Professional | | $7.10 | $10.15 | $27.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.45 / $19.45 / $62.28
| Facility | | $19.45 | $19.45 | $62.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.81 / $17.73 / $22.44
| Professional | | $13.81 | $17.73 | $22.44 |