- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.31 / $21.00 / $36.28
| Facility | | $10.31 | $21.00 | $36.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.82 / $16.01
| Professional | | $6.49 | $10.82 | $16.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.73 / $12.73 / $33.10
| Facility | | $12.73 | $12.73 | $33.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $6.80 / $22.14
| Professional | | $4.42 | $6.80 | $22.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.64 / $12.73 / $12.73
| Facility | | $7.64 | $12.73 | $12.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $12.73 / $12.73
| Professional | | $9.28 | $12.73 | $12.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.90 / $25.75 / $94.03
| Facility | | $8.90 | $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 / $17.82 / $332.00
| Facility | | $10.00 | $17.82 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $7.64 / $23.30
| Professional | | $5.09 | $7.64 | $23.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.35 / $12.73 / $15.21
| Professional | | $10.35 | $12.73 | $15.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.93 / $20.93 / $30.60
| Facility | | $20.93 | $20.93 | $30.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $8.47 / $8.47
| Professional | | $8.47 | $8.47 | $8.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $30.64 / $160.97
| Facility | | $13.73 | $30.64 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $14.46 / $38.40
| Professional | | $9.49 | $14.46 | $38.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.35 / $7.64 / $19.10
| Professional | | $5.35 | $7.64 | $19.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.64 / $14.64 / $31.10
| Facility | | $14.64 | $14.64 | $31.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.35 / $13.51 / $15.30
| Professional | | $10.35 | $13.51 | $15.30 |