- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $30.31 / $66.26
| Facility | | $11.15 | $30.31 | $66.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.74 / $11.73 / $15.32
| Professional | | $9.74 | $11.73 | $15.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $3.54 / $6.30
| Professional | | $3.54 | $3.54 | $6.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.12 / $13.12 / $34.11
| Facility | | $13.12 | $13.12 | $34.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $7.87 / $27.87
| Professional | | $6.01 | $7.87 | $27.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.87 / $13.12 / $13.12
| Facility | | $7.87 | $13.12 | $13.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $13.12 / $13.12
| Professional | | $9.58 | $13.12 | $13.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.17 / $27.72 / $134.76
| Facility | | $9.17 | $27.72 | $134.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $14.61 / $84.46
| Professional | | $9.76 | $14.61 | $84.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $17.05 / $332.00
| Facility | | $6.50 | $17.05 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $7.87 / $24.01
| Professional | | $6.00 | $7.87 | $24.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.12 / $13.12 / $13.12
| Facility | | $13.12 | $13.12 | $13.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.09 / $13.12 / $15.77
| Professional | | $9.09 | $13.12 | $15.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.44 / $27.55 / $63.77
| Facility | | $10.44 | $27.55 | $63.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $8.66 / $8.75
| Professional | | $8.66 | $8.66 | $8.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.36 / $176.68
| Facility | | $13.73 | $32.36 | $176.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.48 / $18.03 / $41.60
| Professional | | $10.48 | $18.03 | $41.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $7.87 / $19.27
| Professional | | $5.51 | $7.87 | $19.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.09 / $15.09 / $35.95
| Facility | | $15.09 | $15.09 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $12.60 / $16.92
| Professional | | $8.82 | $12.60 | $16.92 |