- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $61.87 / $168.80
| Facility | | $9.73 | $61.87 | $168.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $11.60 / $23.36
| Professional | | $9.27 | $11.60 | $23.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.80 / $7.73 / $8.94
| Professional | | $5.80 | $7.73 | $8.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.40 / $40.06 / $72.26
| Facility | | $13.40 | $40.06 | $72.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.83 / $11.59
| Professional | | $5.00 | $6.83 | $11.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.24 / $21.25 / $96.20
| Facility | | $12.24 | $21.25 | $96.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $12.88 / $20.36
| Professional | | $9.66 | $12.88 | $20.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $12.88
| Facility | | $12.88 | $12.88 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $28.29 / $64.77
| Facility | | $9.00 | $28.29 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $9.39 / $21.88
| Professional | | $6.83 | $9.39 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $521.94 / $521.94
| Facility | | $50.00 | $521.94 | $521.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.59 / $18.89 / $21.46
| Professional | | $11.59 | $18.89 | $21.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $12.88 / $24.65
| Facility | | $10.29 | $12.88 | $24.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.59 / $12.88 / $16.79
| Professional | | $11.59 | $12.88 | $16.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $12.88 / $30.58
| Facility | | $10.29 | $12.88 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $9.92 / $18.62
| Professional | | $6.83 | $9.92 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.75 / $12.88 / $21.20
| Facility | | $7.75 | $12.88 | $21.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.38 / $8.63
| Professional | | $5.41 | $7.38 | $8.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.36 / $12.88
| Professional | | $5.01 | $6.36 | $12.88 |