- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $37.70 / $85.00
| Facility | | $13.71 | $37.70 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $11.65 / $18.05
| Professional | | $10.18 | $11.65 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $13.71 / $35.65
| Facility | | $13.71 | $13.71 | $35.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.07 / $8.22 / $29.15
| Professional | | $6.07 | $8.22 | $29.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.23 / $13.71 / $13.71
| Facility | | $8.23 | $13.71 | $13.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.01 / $13.71 / $13.71
| Professional | | $10.01 | $13.71 | $13.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $28.75 / $140.75
| Facility | | $9.58 | $28.75 | $140.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $15.69 / $88.13
| Professional | | $10.19 | $15.69 | $88.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $17.82 / $332.00
| Facility | | $7.00 | $17.82 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $13.36 / $25.09
| Professional | | $6.31 | $13.36 | $25.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $13.71 / $13.71
| Facility | | $13.71 | $13.71 | $13.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $13.71 / $16.48
| Professional | | $8.66 | $13.71 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $8.23 / $10.15
| Professional | | $8.23 | $8.23 | $10.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.03 / $23.38 / $51.93
| Facility | | $9.03 | $23.38 | $51.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $33.20 / $184.53
| Facility | | $13.73 | $33.20 | $184.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $18.48 / $28.24
| Professional | | $11.00 | $18.48 | $28.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $8.23 / $20.14
| Professional | | $5.76 | $8.23 | $20.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.77 / $15.77 / $34.28
| Facility | | $15.77 | $15.77 | $34.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $13.16 / $19.57
| Professional | | $8.41 | $13.16 | $19.57 |