- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.78 / $36.33 / $129.03
| Facility | | $10.78 | $36.33 | $129.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.09 / $11.51 / $34.04
| Professional | | $9.09 | $11.51 | $34.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $7.61 / $8.81
| Professional | | $7.61 | $7.61 | $8.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.89 / $30.58 / $293.00
| Facility | | $13.89 | $30.58 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $10.00 / $29.55
| Professional | | $6.26 | $10.00 | $29.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.84 / $79.65 / $164.98
| Facility | | $32.84 | $79.65 | $164.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.86 / $11.23 / $60.86
| Professional | | $7.86 | $11.23 | $60.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.78 / $16.64 / $42.44
| Facility | | $8.78 | $16.64 | $42.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $15.28 / $22.29
| Professional | | $8.27 | $15.28 | $22.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $12.68 / $20.29
| Professional | | $11.28 | $12.68 | $20.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $12.68 / $28.28
| Professional | | $10.14 | $12.68 | $28.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.07 / $86.53 / $86.53
| Facility | | $31.07 | $86.53 | $86.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $7.61 / $7.61
| Professional | | $7.61 | $7.61 | $7.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.53 / $15.22 / $36.27
| Facility | | $10.53 | $15.22 | $36.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $12.68 / $25.36
| Professional | | $8.35 | $12.68 | $25.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.50 / $44.50 / $44.50
| Professional | | $44.50 | $44.50 | $44.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $12.68 / $17.75
| Professional | | $10.14 | $12.68 | $17.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.33 / $7.61 / $25.37
| Professional | | $5.33 | $7.61 | $25.37 |