- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.92 / $20.21 / $34.68
| Facility | | $9.92 | $20.21 | $34.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $9.56 / $12.25
| Professional | | $4.32 | $9.56 | $12.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $12.25 / $31.85
| Facility | | $12.25 | $12.25 | $31.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $6.05 / $19.36
| Professional | | $3.21 | $6.05 | $19.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.35 / $12.25 / $12.25
| Facility | | $7.35 | $12.25 | $12.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $12.25 / $12.25
| Professional | | $8.94 | $12.25 | $12.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.56 / $25.87 / $62.53
| Facility | | $8.56 | $25.87 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $13.88 / $78.94
| Professional | | $9.11 | $13.88 | $78.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $15.93 / $332.00
| Facility | | $6.50 | $15.93 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $7.35 / $22.42
| Professional | | $5.60 | $7.35 | $22.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Facility | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $10.41 / $13.76
| Professional | | $8.11 | $10.41 | $13.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $29.81 / $164.96
| Facility | | $13.73 | $29.81 | $164.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $10.52 / $25.24
| Professional | | $5.48 | $10.52 | $25.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.03 / $11.03 / $12.25
| Facility | | $11.03 | $11.03 | $12.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $6.00 / $18.38
| Professional | | $4.94 | $6.00 | $18.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.09 / $14.09 / $34.28
| Facility | | $14.09 | $14.09 | $34.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $11.76 / $14.72
| Professional | | $8.41 | $11.76 | $14.72 |