- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $28.38 / $171.64
| Facility | | $8.76 | $28.38 | $171.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $9.30 / $18.39
| Professional | | $6.49 | $9.30 | $18.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $10.32 / $26.83
| Facility | | $10.32 | $10.32 | $26.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $6.18 / $22.14
| Professional | | $4.76 | $6.18 | $22.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.19 / $10.32 / $10.32
| Facility | | $6.19 | $10.32 | $10.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.53 / $10.32 / $10.32
| Professional | | $7.53 | $10.32 | $10.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.21 / $21.20 / $94.03
| Facility | | $7.21 | $21.20 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $11.69 / $64.27
| Professional | | $7.59 | $11.69 | $64.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $13.42 / $332.00
| Facility | | $5.50 | $13.42 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $6.19 / $18.89
| Professional | | $4.72 | $6.19 | $18.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.23 / $8.23 / $8.23
| Facility | | $8.23 | $8.23 | $8.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $9.91 / $12.48
| Professional | | $8.23 | $9.91 | $12.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.24 / $25.88 / $149.22
| Facility | | $8.24 | $25.88 | $149.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.70 / $25.54 / $137.43
| Facility | | $12.70 | $25.54 | $137.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $12.17 / $21.26
| Professional | | $8.27 | $12.17 | $21.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $6.19 / $15.48
| Professional | | $4.33 | $6.19 | $15.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.87 / $11.87 / $38.02
| Facility | | $11.87 | $11.87 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $11.16 / $13.70
| Professional | | $9.10 | $11.16 | $13.70 |