- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.58 / $21.51 / $38.61
| Facility | | $10.58 | $21.51 | $38.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $11.72 / $33.51
| Professional | | $8.33 | $11.72 | $33.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.79 / $13.79 / $35.85
| Facility | | $13.79 | $13.79 | $35.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.14 / $24.70
| Professional | | $5.47 | $7.14 | $24.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $13.79 / $13.79
| Facility | | $8.27 | $13.79 | $13.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.07 / $13.79 / $13.79
| Professional | | $10.07 | $13.79 | $13.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.64 / $28.26 / $120.66
| Facility | | $9.64 | $28.26 | $120.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $13.88 / $80.78
| Professional | | $9.33 | $13.88 | $80.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $17.93 / $332.00
| Facility | | $6.50 | $17.93 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $8.27 / $25.24
| Professional | | $6.30 | $8.27 | $25.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.53 / $12.53 / $12.53
| Facility | | $12.53 | $12.53 | $12.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $12.53 / $16.01
| Professional | | $8.66 | $12.53 | $16.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $12.15 / $47.32
| Facility | | $12.00 | $12.15 | $47.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $34.04 / $168.83
| Facility | | $13.73 | $34.04 | $168.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $13.88 / $27.46
| Professional | | $9.88 | $13.88 | $27.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $7.84 / $20.00
| Professional | | $5.79 | $7.84 | $20.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.86 / $15.86 / $34.28
| Facility | | $15.86 | $15.86 | $34.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $13.10 / $16.57
| Professional | | $8.41 | $13.10 | $16.57 |