- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $40.74 / $91.20
| Facility | | $10.00 | $40.74 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.91 / $38.02
| Professional | | $6.03 | $8.91 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.79 / $21.38 / $45.71
| Facility | | $4.79 | $21.38 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $7.41 / $30.20
| Professional | | $4.17 | $7.41 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $56.23 / $112.20
| Facility | | $20.42 | $56.23 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $9.55 / $25.70
| Professional | | $6.61 | $9.55 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $15.14 / $33.11
| Facility | | $6.03 | $15.14 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $8.51 / $14.13
| Professional | | $5.01 | $8.51 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $9.12 / $14.45
| Professional | | $7.41 | $9.12 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $9.12 / $20.89
| Professional | | $7.24 | $9.12 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $83.18 / $100.00
| Facility | | $83.18 | $83.18 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.57 / $9.12 / $9.12
| Professional | | $4.57 | $9.12 | $9.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $10.96 / $26.92
| Facility | | $7.24 | $10.96 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $8.32 / $19.05
| Professional | | $5.01 | $8.32 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $31.62 / $31.62
| Professional | | $31.62 | $31.62 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $9.33 / $15.49
| Professional | | $7.24 | $9.33 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.07 / $5.50 / $9.12
| Facility | | $4.07 | $5.50 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $5.50 / $25.12
| Professional | | $3.80 | $5.50 | $25.12 |