- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.00 / $92.46 / $164.10
| Facility | | $17.00 | $92.46 | $164.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $12.94 / $19.73
| Professional | | $9.49 | $12.94 | $19.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $8.63 / $12.94
| Professional | | $7.19 | $8.63 | $12.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.76 / $34.68 / $293.00
| Facility | | $15.76 | $34.68 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $11.33 / $38.79
| Professional | | $7.10 | $11.33 | $38.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.24 / $84.90 / $184.92
| Facility | | $37.24 | $84.90 | $184.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.73 / $38.96
| Professional | | $8.91 | $12.73 | $38.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.94 / $18.89 / $48.15
| Facility | | $9.94 | $18.89 | $48.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $17.35 / $25.30
| Professional | | $9.34 | $17.35 | $25.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.79 / $14.38 / $23.01
| Professional | | $12.79 | $14.38 | $23.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $14.38 / $31.64
| Professional | | $11.50 | $14.38 | $31.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $94.00 / $95.00
| Facility | | $55.00 | $94.00 | $95.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $8.63 / $8.63
| Professional | | $8.63 | $8.63 | $8.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.93 / $16.64 / $37.29
| Facility | | $11.93 | $16.64 | $37.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.51 / $14.38 / $28.76
| Professional | | $9.51 | $14.38 | $28.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.47 / $50.47 / $50.47
| Professional | | $50.47 | $50.47 | $50.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $13.05 / $17.91
| Professional | | $11.50 | $13.05 | $17.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.63 / $28.57
| Professional | | $6.04 | $8.63 | $28.57 |