- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.94 / $34.72 / $85.52
| Facility | | $12.94 | $34.72 | $85.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.16 / $25.54 / $27.24
| Professional | | $11.16 | $25.54 | $27.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.03 / $15.03 / $39.08
| Facility | | $15.03 | $15.03 | $39.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.65 / $9.01 / $31.95
| Professional | | $6.65 | $9.01 | $31.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $15.03 / $15.03
| Facility | | $9.02 | $15.03 | $15.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.97 / $15.03 / $15.03
| Professional | | $10.97 | $15.03 | $15.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.51 / $31.62 / $155.75
| Facility | | $10.51 | $31.62 | $155.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $16.80 / $95.49
| Professional | | $11.28 | $16.80 | $95.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $19.54 / $332.00
| Facility | | $7.50 | $19.54 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $9.02 / $27.50
| Professional | | $6.87 | $9.02 | $27.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.03 / $15.03 / $15.03
| Facility | | $15.03 | $15.03 | $15.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $15.03 / $18.05
| Professional | | $8.66 | $15.03 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $7.52 / $7.52
| Professional | | $7.52 | $7.52 | $7.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.60 / $18.71 / $67.45
| Facility | | $12.60 | $18.71 | $67.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.66 / $36.61 / $204.21
| Facility | | $14.66 | $36.61 | $204.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.06 / $20.67 / $93.44
| Professional | | $12.06 | $20.67 | $93.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $9.02 / $22.08
| Professional | | $6.31 | $9.02 | $22.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.28 / $17.28 / $34.28
| Facility | | $17.28 | $17.28 | $34.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $14.43 / $19.39
| Professional | | $8.41 | $14.43 | $19.39 |