- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $44.23 / $105.11
| Facility | | $10.74 | $44.23 | $105.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $12.17 / $26.61
| Professional | | $6.77 | $12.17 | $26.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.07 / $7.07 / $7.07
| Professional | | $7.07 | $7.07 | $7.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $24.55 / $293.00
| Facility | | $11.15 | $24.55 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $8.01 / $26.11
| Professional | | $5.01 | $8.01 | $26.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.37 / $71.38 / $132.25
| Facility | | $26.37 | $71.38 | $132.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $9.02 / $48.86
| Professional | | $6.31 | $9.02 | $48.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.04 / $13.37 / $34.09
| Facility | | $7.04 | $13.37 | $34.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $10.23 / $18.07
| Professional | | $6.58 | $10.23 | $18.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $10.18 / $16.29
| Professional | | $9.05 | $10.18 | $16.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.14 / $10.18 / $22.40
| Professional | | $8.14 | $10.18 | $22.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $90.10
| Facility | | $55.00 | $70.00 | $90.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $5.09 / $5.09
| Professional | | $5.09 | $5.09 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $12.22 / $29.09
| Facility | | $8.44 | $12.22 | $29.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $10.18 / $20.36
| Professional | | $6.72 | $10.18 | $20.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.72 / $35.72 / $35.72
| Professional | | $35.72 | $35.72 | $35.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.14 / $10.18 / $14.25
| Professional | | $8.14 | $10.18 | $14.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $6.11 / $20.39
| Professional | | $4.28 | $6.11 | $20.39 |