- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.36 / $19.20 / $49.02
| Facility | | $8.36 | $19.20 | $49.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $9.23 / $12.06
| Professional | | $7.40 | $9.23 | $12.06 |
- 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
- $4.57 / $6.19 / $21.93
| Professional | | $4.57 | $6.19 | $21.93 |
- 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 / $104.82
| Facility | | $7.21 | $21.20 | $104.82 |
- 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
- $8.60 / $14.88 / $332.00
| Facility | | $8.60 | $14.88 | $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
- $9.80 / $9.80 / $9.80
| Facility | | $9.80 | $9.80 | $9.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $9.80 / $12.40
| Professional | | $5.74 | $9.80 | $12.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.04 / $28.49 / $92.91
| Facility | | $7.04 | $28.49 | $92.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.81 / $6.81 / $6.88
| Professional | | $6.81 | $6.81 | $6.88 |
- 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 / $14.19 / $21.26
| Professional | | $8.27 | $14.19 | $21.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $6.19 / $16.00
| Professional | | $4.33 | $6.19 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.87 / $11.87 / $22.63
| Facility | | $11.87 | $11.87 | $22.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.56 / $9.91 / $12.51
| Professional | | $5.56 | $9.91 | $12.51 |