- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.15 / $37.11 / $65.78
| Facility | | $13.15 | $37.11 | $65.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.88 / $17.68
| Professional | | $6.49 | $10.88 | $17.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.07 / $16.07 / $41.78
| Facility | | $16.07 | $16.07 | $41.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $7.84 / $24.66
| Professional | | $4.42 | $7.84 | $24.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.64 / $16.07 / $16.07
| Facility | | $9.64 | $16.07 | $16.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.73 / $16.07 / $16.07
| Professional | | $11.73 | $16.07 | $16.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.23 / $32.50 / $94.03
| Facility | | $11.23 | $32.50 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $16.44 / $78.94
| Professional | | $9.22 | $16.44 | $78.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $20.89 / $332.00
| Facility | | $8.60 | $20.89 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.34 / $9.56 / $29.41
| Professional | | $7.34 | $9.56 | $29.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Facility | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $11.51 / $18.05
| Professional | | $8.11 | $11.51 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.67 / $47.20 / $55.47
| Facility | | $24.67 | $47.20 | $55.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.73 / $39.15 / $176.68
| Facility | | $14.73 | $39.15 | $176.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $13.88 / $26.40
| Professional | | $9.44 | $13.88 | $26.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $9.64 / $28.43
| Professional | | $6.75 | $9.64 | $28.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.48 / $18.48 / $42.22
| Facility | | $18.48 | $18.48 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $13.61 / $19.30
| Professional | | $10.02 | $13.61 | $19.30 |