- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.82 / $22.82 / $92.06
| Facility | | $9.82 | $22.82 | $92.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.71 / $11.35 / $22.62
| Professional | | $6.71 | $11.35 | $22.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.68 / $12.68 / $32.97
| Facility | | $12.68 | $12.68 | $32.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $6.26 / $19.59
| Professional | | $3.21 | $6.26 | $19.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.61 / $12.68 / $12.68
| Facility | | $7.61 | $12.68 | $12.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.26 / $12.68 / $12.68
| Professional | | $9.26 | $12.68 | $12.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $26.59 / $62.53
| Facility | | $8.86 | $26.59 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.53 / $14.25 / $82.64
| Professional | | $9.53 | $14.25 | $82.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $16.48 / $332.00
| Facility | | $6.50 | $16.48 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $7.61 / $23.20
| Professional | | $5.79 | $7.61 | $23.20 |
- 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 / $10.91 / $14.75
| Professional | | $8.11 | $10.91 | $14.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $14.36 / $56.49
| Facility | | $8.00 | $14.36 | $56.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $8.44 / $8.44
| Professional | | $8.44 | $8.44 | $8.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $30.64 / $172.81
| Facility | | $13.73 | $30.64 | $172.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $10.52 / $26.12
| Professional | | $5.48 | $10.52 | $26.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $6.09 / $18.62
| Professional | | $4.94 | $6.09 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.58 / $14.58 / $35.95
| Facility | | $14.58 | $14.58 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $12.18 / $15.24
| Professional | | $8.82 | $12.18 | $15.24 |