- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $67.78 / $115.79
| Facility | | $12.35 | $67.78 | $115.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $9.36 / $63.47
| Professional | | $6.86 | $9.36 | $63.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $5.16 / $5.16
| Professional | | $5.16 | $5.16 | $5.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.31 / $24.89 / $293.00
| Facility | | $11.31 | $24.89 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $8.13 / $23.97
| Professional | | $5.09 | $8.13 | $23.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.73 / $71.50 / $134.11
| Facility | | $26.73 | $71.50 | $134.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.41 / $9.15 / $49.54
| Professional | | $6.41 | $9.15 | $49.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.16 / $13.55 / $34.56
| Facility | | $7.16 | $13.55 | $34.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $12.36 / $17.25
| Professional | | $6.79 | $12.36 | $17.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.18 / $10.32 / $16.51
| Professional | | $9.18 | $10.32 | $16.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.26 / $10.32 / $23.02
| Professional | | $8.26 | $10.32 | $23.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $182.02 / $231.44 / $231.44
| Facility | | $182.02 | $231.44 | $231.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.19 / $6.19 / $6.19
| Professional | | $6.19 | $6.19 | $6.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.57 / $11.94 / $29.12
| Facility | | $8.57 | $11.94 | $29.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $10.32 / $20.64
| Professional | | $6.79 | $10.32 | $20.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.22 / $36.22 / $36.22
| Professional | | $36.22 | $36.22 | $36.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.26 / $9.36 / $12.85
| Professional | | $8.26 | $9.36 | $12.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.33 / $6.19 / $18.03
| Professional | | $4.33 | $6.19 | $18.03 |