- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $65.19 / $141.12
| Facility | | $10.94 | $65.19 | $141.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.90 / $12.54 / $18.71
| Professional | | $8.90 | $12.54 | $18.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $9.78 / $11.03
| Professional | | $6.48 | $9.78 | $11.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.84 / $47.49 / $83.34
| Facility | | $17.84 | $47.49 | $83.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.63 / $9.78
| Professional | | $5.00 | $7.63 | $9.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $23.02 / $100.84
| Facility | | $13.67 | $23.02 | $100.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.51 / $15.11 / $23.02
| Professional | | $11.51 | $15.11 | $23.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.39 / $15.11 / $15.11
| Facility | | $14.39 | $15.11 | $15.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $31.60 / $72.73
| Facility | | $10.06 | $31.60 | $72.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $10.47 / $30.18
| Professional | | $7.63 | $10.47 | $30.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $68.40 / $68.40
| Facility | | $50.00 | $68.40 | $68.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.78 / $20.78 / $23.62
| Professional | | $12.78 | $20.78 | $23.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $14.39 / $27.34
| Facility | | $11.51 | $14.39 | $27.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.95 / $14.39 / $24.23
| Professional | | $12.95 | $14.39 | $24.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $14.39 / $35.69
| Facility | | $11.51 | $14.39 | $35.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $11.06 / $20.88
| Professional | | $7.63 | $11.06 | $20.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.25 / $11.75
| Professional | | $6.04 | $8.25 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $7.11 / $14.39
| Professional | | $5.61 | $7.11 | $14.39 |