- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $35.17 / $125.60
| Facility | | $13.73 | $35.17 | $125.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $11.80 / $23.60
| Professional | | $9.11 | $11.80 | $23.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $7.81 / $9.02
| Professional | | $6.51 | $7.81 | $9.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.26 / $31.38 / $293.00
| Facility | | $14.26 | $31.38 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $10.25 / $33.39
| Professional | | $6.42 | $10.25 | $33.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.70 / $80.86 / $168.98
| Facility | | $33.70 | $80.86 | $168.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $11.52 / $62.45
| Professional | | $8.06 | $11.52 | $62.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $17.09 / $43.57
| Facility | | $9.00 | $17.09 | $43.57 |
- 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
- $11.56 / $13.01 / $20.82
| Professional | | $11.56 | $13.01 | $20.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $13.01 / $29.92
| Professional | | $10.41 | $13.01 | $29.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.32 / $108.48 / $108.48
| Facility | | $85.32 | $108.48 | $108.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.80 / $7.80 / $7.80
| Professional | | $7.80 | $7.80 | $7.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $15.61 / $37.17
| Facility | | $10.79 | $15.61 | $37.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $13.01 / $26.02
| Professional | | $8.58 | $13.01 | $26.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.66 / $45.66 / $45.66
| Professional | | $45.66 | $45.66 | $45.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $13.01 / $18.21
| Professional | | $10.41 | $13.01 | $18.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.46 / $7.74 / $24.99
| Professional | | $5.46 | $7.74 | $24.99 |