- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.04 / $31.85 / $64.47
| Facility | | $13.04 | $31.85 | $64.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $14.69 / $16.85
| Professional | | $4.32 | $14.69 | $16.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $16.85 / $43.81
| Facility | | $16.85 | $16.85 | $43.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $9.53 / $23.79
| Professional | | $8.32 | $9.53 | $23.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $16.85 / $16.85
| Facility | | $10.11 | $16.85 | $16.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $16.85 / $16.85
| Professional | | $12.30 | $16.85 | $16.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $35.59 / $62.53
| Facility | | $11.77 | $35.59 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.58 / $18.98 / $81.22
| Professional | | $12.58 | $18.98 | $81.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $21.91 / $332.00
| Facility | | $8.60 | $21.91 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $10.02 / $30.84
| Professional | | $7.70 | $10.02 | $30.84 |
- 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 / $10.91 / $17.67
| Professional | | $8.11 | $10.91 | $17.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.27 / $48.08 / $82.29
| Facility | | $15.27 | $48.08 | $82.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.43 / $40.86 / $227.76
| Facility | | $16.43 | $40.86 | $227.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $11.87 / $34.71
| Professional | | $5.28 | $11.87 | $34.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.09 / $24.75
| Professional | | $5.25 | $8.09 | $24.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.38 / $19.38 / $35.95
| Facility | | $19.38 | $19.38 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.07 / $14.32 / $20.25
| Professional | | $8.07 | $14.32 | $20.25 |