- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.16 / $23.78 / $41.07
| Facility | | $11.16 | $23.78 | $41.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $12.25 / $14.41
| Professional | | $4.32 | $12.25 | $14.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $14.41 / $37.47
| Facility | | $14.41 | $14.41 | $37.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $7.12 / $21.16
| Professional | | $3.21 | $7.12 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $14.41 / $14.41
| Facility | | $8.65 | $14.41 | $14.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.52 / $14.41 / $14.41
| Professional | | $10.52 | $14.41 | $14.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $30.45 / $62.53
| Facility | | $10.07 | $30.45 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $16.07 / $88.13
| Professional | | $10.63 | $16.07 | $88.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $18.73 / $332.00
| Facility | | $6.50 | $18.73 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $8.58 / $26.37
| Professional | | $6.59 | $8.58 | $26.37 |
- 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 / $12.25 / $16.04
| Professional | | $8.11 | $12.25 | $16.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.22 / $26.22 / $26.22
| Facility | | $26.22 | $26.22 | $26.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.06 / $34.90 / $192.38
| Facility | | $14.06 | $34.90 | $192.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $11.47 / $29.68
| Professional | | $5.48 | $11.47 | $29.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.97 / $12.97 / $14.41
| Facility | | $12.97 | $12.97 | $14.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $7.06 / $21.16
| Professional | | $5.09 | $7.06 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.57 / $16.57 / $35.95
| Facility | | $16.57 | $16.57 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $13.84 / $17.32
| Professional | | $8.82 | $13.84 | $17.32 |