- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.23 / $25.76 / $43.85
| Facility | | $12.23 | $25.76 | $43.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $12.56 / $14.39
| Professional | | $10.69 | $12.56 | $14.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.39 / $14.39 / $37.40
| Facility | | $14.39 | $14.39 | $37.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $8.77 / $32.90
| Professional | | $7.11 | $8.77 | $32.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.63 / $14.39 / $14.39
| Facility | | $8.63 | $14.39 | $14.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $14.39 / $14.39
| Professional | | $10.50 | $14.39 | $14.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $30.19 / $146.72
| Facility | | $10.06 | $30.19 | $146.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $16.07 / $69.36
| Professional | | $10.63 | $16.07 | $69.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.80 / $18.71 / $332.00
| Facility | | $6.80 | $18.71 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $8.63 / $26.33
| Professional | | $6.58 | $8.63 | $26.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.39 / $14.39 / $14.39
| Facility | | $14.39 | $14.39 | $14.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $14.39 / $17.30
| Professional | | $8.32 | $14.39 | $17.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $41.07 / $70.27
| Facility | | $13.05 | $41.07 | $70.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.03 / $34.90 / $192.38
| Facility | | $14.03 | $34.90 | $192.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $14.39 / $29.64
| Professional | | $11.47 | $14.39 | $29.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.63 / $21.14
| Professional | | $6.04 | $8.63 | $21.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.55 / $16.55 / $34.79
| Facility | | $16.55 | $16.55 | $34.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $13.82 / $18.55
| Professional | | $7.72 | $13.82 | $18.55 |