- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $56.28 / $101.16
| Facility | | $12.39 | $56.28 | $101.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.80 / $12.98 / $25.38
| Professional | | $11.80 | $12.98 | $25.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $14.57 / $14.57
| Professional | | $8.74 | $14.57 | $14.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.43 / $95.35 / $8,639.91
| Facility | | $73.43 | $95.35 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $11.36 / $11.36
| Professional | | $11.36 | $11.36 | $11.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $19.39 / $47.81
| Facility | | $9.58 | $19.39 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $16.93 / $25.39
| Professional | | $9.16 | $16.93 | $25.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $10.61 / $19.73
| Professional | | $6.70 | $10.61 | $19.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.46 / $36.76 / $89.40
| Facility | | $22.46 | $36.76 | $89.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $12.51 / $14.00
| Professional | | $8.74 | $12.51 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $39.61 / $113.34
| Facility | | $12.39 | $39.61 | $113.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.49 / $12.68 / $60.17
| Professional | | $10.49 | $12.68 | $60.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.75 / $22.11 / $47.81
| Facility | | $9.75 | $22.11 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $16.93 / $25.39
| Professional | | $9.16 | $16.93 | $25.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.57 / $14.57 / $14.57
| Facility | | $14.57 | $14.57 | $14.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.82 / $14.57 / $20.72
| Professional | | $12.82 | $14.57 | $20.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.20 / $12.20 / $24.41
| Facility | | $12.20 | $12.20 | $24.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $9.44 / $29.32
| Professional | | $6.12 | $9.44 | $29.32 |