- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.66 / $30.35 / $95.66
| Facility | | $9.66 | $30.35 | $95.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.59 / $11.23 / $31.59
| Professional | | $9.59 | $11.23 | $31.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $12.39 / $32.21
| Facility | | $12.39 | $12.39 | $32.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $6.12 / $19.13
| Professional | | $3.21 | $6.12 | $19.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.43 / $12.39 / $12.39
| Facility | | $7.43 | $12.39 | $12.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $12.39 / $12.39
| Professional | | $9.03 | $12.39 | $12.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.66 / $26.16 / $62.53
| Facility | | $8.66 | $26.16 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $13.88 / $80.78
| Professional | | $9.11 | $13.88 | $80.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $16.11 / $332.00
| Facility | | $6.50 | $16.11 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $7.43 / $22.67
| Professional | | $4.96 | $7.43 | $22.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.57 / $10.57 / $10.57
| Facility | | $10.57 | $10.57 | $10.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $11.05 / $13.92
| Professional | | $8.66 | $11.05 | $13.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.93 / $27.42 / $92.00
| Facility | | $10.93 | $27.42 | $92.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $30.64 / $164.96
| Facility | | $13.73 | $30.64 | $164.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $10.52 / $25.52
| Professional | | $5.48 | $10.52 | $25.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.95 / $18.20
| Professional | | $5.00 | $5.95 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.25 / $14.25 / $34.28
| Facility | | $14.25 | $14.25 | $34.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $12.35 / $14.89
| Professional | | $8.41 | $12.35 | $14.89 |