- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.77 / $39.13 / $132.47
| Facility | | $7.77 | $39.13 | $132.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $14.85 / $30.88
| Professional | | $12.59 | $14.85 | $30.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.22 / $10.22 / $11.83
| Professional | | $10.22 | $10.22 | $11.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.66 / $41.08 / $293.00
| Facility | | $18.66 | $41.08 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $13.42 / $37.61
| Professional | | $8.41 | $13.42 | $37.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.11 / $86.63 / $218.96
| Facility | | $44.11 | $86.63 | $218.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $15.08 / $58.89
| Professional | | $10.56 | $15.08 | $58.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.79 / $22.36 / $57.01
| Facility | | $11.79 | $22.36 | $57.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $20.65 / $30.12
| Professional | | $11.03 | $20.65 | $30.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $17.03 / $27.25
| Professional | | $15.14 | $17.03 | $27.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.62 / $17.03 / $37.47
| Professional | | $13.62 | $17.03 | $37.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.94 / $97.00 / $97.00
| Facility | | $59.94 | $97.00 | $97.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.22 / $10.22 / $10.22
| Professional | | $10.22 | $10.22 | $10.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $20.37 / $48.68
| Facility | | $14.13 | $20.37 | $48.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $17.03 / $34.06
| Professional | | $11.36 | $17.03 | $34.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.77 / $59.77 / $59.77
| Professional | | $59.77 | $59.77 | $59.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.62 / $17.03 / $23.84
| Professional | | $13.62 | $17.03 | $23.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.15 / $10.00 / $32.71
| Professional | | $7.15 | $10.00 | $32.71 |