- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.56 / $20.85 / $75.98
| Facility | | $7.56 | $20.85 | $75.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $8.01 / $11.69
| Professional | | $6.60 | $8.01 | $11.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.89 / $8.89 / $23.11
| Facility | | $8.89 | $8.89 | $23.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.24 / $5.37 / $20.05
| Professional | | $4.24 | $5.37 | $20.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.33 / $8.89 / $8.89
| Facility | | $5.33 | $8.89 | $8.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $8.89 / $8.89
| Professional | | $6.49 | $8.89 | $8.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.21 / $18.69 / $89.89
| Facility | | $6.21 | $18.69 | $89.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $9.86 / $56.92
| Professional | | $6.51 | $9.86 | $56.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.50 / $11.56 / $332.00
| Facility | | $4.50 | $11.56 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.09 / $8.89 / $16.27
| Professional | | $4.09 | $8.89 | $16.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.89 / $8.89 / $8.89
| Facility | | $8.89 | $8.89 | $8.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $8.89 / $12.56
| Professional | | $7.83 | $8.89 | $12.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.56 / $3.56 / $3.56
| Professional | | $3.56 | $3.56 | $3.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.90 / $12.90 / $22.30
| Facility | | $12.90 | $12.90 | $22.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.67 / $21.29 / $117.86
| Facility | | $10.67 | $21.29 | $117.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $11.06 / $18.30
| Professional | | $7.12 | $11.06 | $18.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.73 / $5.33 / $13.34
| Professional | | $3.73 | $5.33 | $13.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.22 / $10.22 / $32.71
| Facility | | $10.22 | $10.22 | $32.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $9.98 / $14.15
| Professional | | $7.83 | $9.98 | $14.15 |