- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $52.48 / $104.71
| Facility | | $20.42 | $52.48 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $15.85 / $134.90
| Professional | | $10.00 | $15.85 | $134.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $47.86 / $102.33
| Facility | | $9.55 | $47.86 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $12.30 / $31.62
| Professional | | $7.08 | $12.30 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $58.88 / $120.23
| Facility | | $25.70 | $58.88 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $10.23 / $32.36
| Professional | | $7.24 | $10.23 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $34.67 / $69.18
| Facility | | $11.22 | $34.67 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $12.02 / $30.90
| Professional | | $6.03 | $12.02 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $20.42 / $33.11
| Professional | | $7.94 | $20.42 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $20.42 / $46.77
| Professional | | $16.22 | $20.42 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.72 / $97.72 / $100.00
| Facility | | $97.72 | $97.72 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $24.55 / $24.55
| Professional | | $12.30 | $24.55 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $20.42 / $51.29
| Facility | | $11.48 | $20.42 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $11.75 / $40.74
| Professional | | $6.61 | $11.75 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $72.44 / $72.44 / $72.44
| Professional | | $72.44 | $72.44 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $19.05 / $28.84
| Professional | | $16.22 | $19.05 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $11.22 / $20.42
| Facility | | $6.61 | $11.22 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.51 / $34.67
| Professional | | $5.25 | $8.51 | $34.67 |