- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.21 / $34.88 / $67.61
| Facility | | $14.21 | $34.88 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.95 / $15.02 / $15.91
| Professional | | $10.95 | $15.02 | $15.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $16.85 / $43.81
| Facility | | $16.85 | $16.85 | $43.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $8.32 / $23.01
| Professional | | $3.21 | $8.32 | $23.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $16.85 / $16.85
| Facility | | $10.11 | $16.85 | $16.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $16.85 / $16.85
| Professional | | $12.30 | $16.85 | $16.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $35.59 / $62.53
| Facility | | $11.77 | $35.59 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.58 / $18.98 / $106.51
| Professional | | $12.58 | $18.98 | $106.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $21.91 / $332.00
| Facility | | $8.60 | $21.91 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $10.02 / $30.84
| Professional | | $7.70 | $10.02 | $30.84 |
- 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 / $12.96 / $18.92
| Professional | | $8.11 | $12.96 | $18.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $2.02 / $2.02
| Professional | | $2.02 | $2.02 | $2.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.71 / $27.70 / $63.82
| Facility | | $11.71 | $27.70 | $63.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.43 / $40.86 / $227.76
| Facility | | $16.43 | $40.86 | $227.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $11.87 / $34.71
| Professional | | $5.48 | $11.87 | $34.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.00 / $24.75
| Professional | | $5.25 | $8.00 | $24.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.38 / $19.38 / $35.95
| Facility | | $19.38 | $19.38 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $16.04 / $24.10
| Professional | | $8.82 | $16.04 | $24.10 |