- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.36 / $18.27 / $38.02
| Facility | | $8.36 | $18.27 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.71 / $9.30 / $12.34
| Professional | | $6.71 | $9.30 | $12.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $10.33 / $26.86
| Facility | | $10.33 | $10.33 | $26.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.93 / $6.24 / $23.31
| Professional | | $4.93 | $6.24 | $23.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.20 / $10.33 / $10.33
| Facility | | $6.20 | $10.33 | $10.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.54 / $10.33 / $10.33
| Professional | | $7.54 | $10.33 | $10.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.22 / $21.56 / $104.82
| Facility | | $7.22 | $21.56 | $104.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $11.69 / $58.75
| Professional | | $7.59 | $11.69 | $58.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $15.50 / $332.00
| Facility | | $9.00 | $15.50 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $6.20 / $18.89
| Professional | | $4.72 | $6.20 | $18.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $10.33 / $10.33
| Facility | | $10.33 | $10.33 | $10.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $10.33 / $13.33
| Professional | | $8.77 | $10.33 | $13.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $5.17 / $5.17
| Professional | | $5.17 | $5.17 | $5.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.31 / $25.82 / $28.87
| Facility | | $8.31 | $25.82 | $28.87 |
- 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
- $8.28 / $13.56 / $21.28
| Professional | | $8.28 | $13.56 | $21.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $6.20 / $15.50
| Professional | | $4.34 | $6.20 | $15.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.88 / $11.88 / $38.04
| Facility | | $11.88 | $11.88 | $38.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $11.18 / $13.71
| Professional | | $8.44 | $11.18 | $13.71 |