- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.22 / $53.12 / $134.55
| Facility | | $15.22 | $53.12 | $134.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $15.59 / $118.20
| Professional | | $9.94 | $15.59 | $118.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $7.82 / $7.82
| Professional | | $7.82 | $7.82 | $7.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.28 / $31.43 / $293.00
| Facility | | $14.28 | $31.43 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $10.26 / $33.43
| Professional | | $6.43 | $10.26 | $33.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.75 / $80.90 / $167.44
| Facility | | $33.75 | $80.90 | $167.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $11.54 / $62.54
| Professional | | $8.08 | $11.54 | $62.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.01 / $17.11 / $43.62
| Facility | | $9.01 | $17.11 | $43.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $15.69 / $22.89
| Professional | | $8.49 | $15.69 | $22.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.58 / $13.03 / $20.85
| Professional | | $11.58 | $13.03 | $20.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $13.03 / $29.06
| Professional | | $10.42 | $13.03 | $29.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.30 / $158.04 / $158.04
| Facility | | $124.30 | $158.04 | $158.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $7.82 / $7.82
| Professional | | $7.82 | $7.82 | $7.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.81 / $15.59 / $37.22
| Facility | | $10.81 | $15.59 | $37.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $13.03 / $26.06
| Professional | | $8.58 | $13.03 | $26.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.73 / $45.73 / $45.73
| Professional | | $45.73 | $45.73 | $45.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $13.03 / $18.23
| Professional | | $10.42 | $13.03 | $18.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.75 / $25.19
| Professional | | $5.47 | $7.75 | $25.19 |