- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.46 / $21.54 / $50.21
| Facility | | $10.46 | $21.54 | $50.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $10.74 / $16.89
| Professional | | $8.94 | $10.74 | $16.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $12.31 / $32.01
| Facility | | $12.31 | $12.31 | $32.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.38 / $27.20
| Professional | | $5.75 | $7.38 | $27.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.39 / $12.31 / $12.31
| Facility | | $7.39 | $12.31 | $12.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.99 / $12.31 / $12.31
| Professional | | $8.99 | $12.31 | $12.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $25.87 / $122.78
| Facility | | $8.60 | $25.87 | $122.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $14.04 / $94.69
| Professional | | $8.89 | $14.04 | $94.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $16.00 / $332.00
| Facility | | $7.50 | $16.00 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.63 / $11.74 / $22.53
| Professional | | $5.63 | $11.74 | $22.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $12.09 / $15.31
| Professional | | $9.64 | $12.09 | $15.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $13.68 / $60.11
| Facility | | $8.11 | $13.68 | $60.11 |
- 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
- $9.67 / $16.82 / $50.00
| Professional | | $9.67 | $16.82 | $50.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.08 / $11.08 / $12.31
| Facility | | $11.08 | $11.08 | $12.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.23 / $8.00 / $19.00
| Professional | | $6.23 | $8.00 | $19.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.16 / $14.16 / $42.51
| Facility | | $14.16 | $14.16 | $42.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $12.91 / $20.78
| Professional | | $9.64 | $12.91 | $20.78 |