- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.33 / $23.52 / $90.81
| Facility | | $8.33 | $23.52 | $90.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $8.86 / $14.25
| Professional | | $4.32 | $8.86 | $14.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $10.18 / $26.47
| Facility | | $10.18 | $10.18 | $26.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $5.27 / $17.07
| Professional | | $3.16 | $5.27 | $17.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.11 / $10.18 / $10.18
| Facility | | $6.11 | $10.18 | $10.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $10.18 / $10.18
| Professional | | $7.43 | $10.18 | $10.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.11 / $21.52 / $62.53
| Facility | | $7.11 | $21.52 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $11.32 / $67.64
| Professional | | $7.59 | $11.32 | $67.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $15.27 / $332.00
| Facility | | $9.00 | $15.27 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.65 / $6.11 / $18.63
| Professional | | $4.65 | $6.11 | $18.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Facility | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $9.77 / $12.29
| Professional | | $8.11 | $9.77 | $12.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $18.39 / $45.35
| Facility | | $9.58 | $18.39 | $45.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.27 / $24.70 / $137.43
| Facility | | $12.27 | $24.70 | $137.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.99 / $11.56 / $20.97
| Professional | | $7.99 | $11.56 | $20.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $6.11 / $15.43
| Professional | | $4.28 | $6.11 | $15.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.71 / $11.71 / $26.52
| Facility | | $11.71 | $11.71 | $26.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $10.91 / $12.96
| Professional | | $8.65 | $10.91 | $12.96 |