- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $31.01 / $98.46
| Facility | | $10.74 | $31.01 | $98.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $9.07 / $36.28
| Professional | | $7.29 | $9.07 | $36.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $6.11 / $6.11
| Professional | | $6.11 | $6.11 | $6.11 |
- 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 / $24.55
| Professional | | $5.01 | $8.01 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.37 / $71.20 / $132.25
| Facility | | $26.37 | $71.20 | $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 / $12.39 / $18.07
| Professional | | $6.58 | $12.39 | $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 / $23.07
| Professional | | $8.14 | $10.18 | $23.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.00 / $71.83 / $71.83
| Facility | | $65.00 | $71.83 | $71.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $6.11 / $6.11
| Professional | | $6.11 | $6.11 | $6.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $12.17 / $29.21
| Facility | | $8.44 | $12.17 | $29.21 |
- 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 / $9.23 / $12.67
| Professional | | $8.14 | $9.23 | $12.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $6.11 / $19.55
| Professional | | $4.28 | $6.11 | $19.55 |