- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.31 / $38.92 / $197.20
| Facility | | $9.31 | $38.92 | $197.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.38 / $9.97 / $14.77
| Professional | | $7.38 | $9.97 | $14.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.91 / $6.16 / $8.36
| Professional | | $5.91 | $6.16 | $8.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.91 / $39.64 / $73.73
| Facility | | $13.91 | $39.64 | $73.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.52 / $10.96
| Professional | | $5.00 | $6.52 | $10.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $19.07 / $52.36
| Facility | | $12.31 | $19.07 | $52.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $11.66 / $18.47
| Professional | | $8.61 | $11.66 | $18.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $12.31 / $12.31
| Facility | | $12.31 | $12.31 | $12.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.48 / $26.60 / $60.83
| Facility | | $9.48 | $26.60 | $60.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $9.27 / $25.06
| Professional | | $6.52 | $9.27 | $25.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122.07 / $129.33 / $132.82
| Facility | | $122.07 | $129.33 | $132.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.85 / $12.31 / $16.92
| Facility | | $9.85 | $12.31 | $16.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.08 / $12.31 / $14.92
| Professional | | $11.08 | $12.31 | $14.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.85 / $12.31 / $33.89
| Facility | | $9.85 | $12.31 | $33.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $9.48 / $17.41
| Professional | | $6.52 | $9.48 | $17.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.43 / $5.17 / $12.31
| Facility | | $4.43 | $5.17 | $12.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $9.85 / $12.31
| Professional | | $7.39 | $9.85 | $12.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $5.95 / $12.31
| Professional | | $4.80 | $5.95 | $12.31 |