- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.41 / $21.44 / $58.19
| Facility | | $10.41 | $21.44 | $58.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.41 / $12.25
| Professional | | $6.49 | $10.41 | $12.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $12.25 / $31.85
| Facility | | $12.25 | $12.25 | $31.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $6.69 / $22.14
| Professional | | $4.42 | $6.69 | $22.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.35 / $12.25 / $12.25
| Facility | | $7.35 | $12.25 | $12.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $12.25 / $12.25
| Professional | | $8.94 | $12.25 | $12.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.56 / $25.75 / $94.03
| Facility | | $8.56 | $25.75 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.52 / $78.94
| Professional | | $8.89 | $13.52 | $78.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $17.30 / $332.00
| Facility | | $10.00 | $17.30 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.60 / $7.35 / $22.42
| Professional | | $5.60 | $7.35 | $22.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $12.25 / $12.25
| Facility | | $12.25 | $12.25 | $12.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $12.25 / $15.21
| Professional | | $10.23 | $12.25 | $15.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $9.86 / $10.59
| Facility | | $9.86 | $9.86 | $10.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $29.81 / $160.97
| Facility | | $13.73 | $29.81 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $12.25 / $25.24
| Professional | | $9.49 | $12.25 | $25.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $7.35 / $17.98
| Professional | | $5.15 | $7.35 | $17.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.09 / $14.09 / $42.22
| Facility | | $14.09 | $14.09 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $12.84 / $15.80
| Professional | | $10.23 | $12.84 | $15.80 |