- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.84 / $9.98 / $10.77
| Facility | | $9.84 | $9.98 | $10.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.31 / $11.17 / $19.68
| Professional | | $9.31 | $11.17 | $19.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.59 / $15.20 / $18.00
| Professional | | $9.59 | $15.20 | $18.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.74 / $19.18 / $41.65
| Facility | | $11.74 | $19.18 | $41.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.51 / $12.51 / $12.51
| Professional | | $12.51 | $12.51 | $12.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $11.40 / $15.20
| Professional | | $10.72 | $11.40 | $15.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.80 / $17.80 / $17.80
| Facility | | $17.80 | $17.80 | $17.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $6.20 / $6.20
| Professional | | $6.20 | $6.20 | $6.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.27 / $114.01 / $126.60
| Facility | | $34.27 | $114.01 | $126.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $160.00 / $293.29 / $305.02
| Professional | | $160.00 | $293.29 | $305.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $17.80 / $61.95
| Facility | | $10.11 | $17.80 | $61.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.92 / $14.44 / $26.98
| Professional | | $12.92 | $14.44 | $26.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.90 / $17.05 / $26.60
| Professional | | $14.90 | $17.05 | $26.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.27 / $18.45 / $61.95
| Facility | | $10.27 | $18.45 | $61.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $6.20 / $12.62
| Professional | | $6.20 | $6.20 | $12.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $7.13 / $10.44
| Professional | | $5.37 | $7.13 | $10.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.20 / $15.20 / $20.52
| Professional | | $15.20 | $15.20 | $20.52 |