- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $35.79 / $140.50
| Facility | | $13.61 | $35.79 | $140.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $14.95 / $33.99
| Professional | | $10.34 | $14.95 | $33.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $8.27 / $8.68
| Professional | | $8.27 | $8.27 | $8.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.11 / $33.26 / $293.00
| Facility | | $15.11 | $33.26 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $9.85 / $29.11
| Professional | | $6.17 | $9.85 | $29.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.35 / $78.73 / $162.38
| Facility | | $33.35 | $78.73 | $162.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $11.06 / $66.19
| Professional | | $7.74 | $11.06 | $66.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.96 / $18.10 / $45.84
| Facility | | $8.96 | $18.10 | $45.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $16.11 / $24.70
| Professional | | $8.06 | $16.11 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.11 / $13.79 / $22.06
| Professional | | $11.11 | $13.79 | $22.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $13.79 / $31.25
| Professional | | $11.03 | $13.79 | $31.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.00 / $65.50 / $150.44
| Facility | | $58.00 | $65.50 | $150.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $8.27 / $8.27
| Professional | | $8.27 | $8.27 | $8.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $15.86 / $39.09
| Facility | | $10.36 | $15.86 | $39.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.23 / $13.79 / $27.35
| Professional | | $9.23 | $13.79 | $27.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.40 / $48.40 / $48.40
| Professional | | $48.40 | $48.40 | $48.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $13.79 / $19.30
| Professional | | $11.03 | $13.79 | $19.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $7.52 / $25.14
| Professional | | $5.79 | $7.52 | $25.14 |