- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.34 / $34.43 / $77.01
| Facility | | $15.34 | $34.43 | $77.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.40 / $15.63 / $18.05
| Professional | | $13.40 | $15.63 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $18.05 / $46.93
| Facility | | $18.05 | $18.05 | $46.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.19 / $10.83 / $40.72
| Professional | | $8.19 | $10.83 | $40.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $18.05 / $18.05
| Facility | | $10.83 | $18.05 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $18.05 / $18.05
| Professional | | $13.18 | $18.05 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.61 / $36.74 / $185.69
| Facility | | $12.61 | $36.74 | $185.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.45 / $20.46 / $115.68
| Professional | | $13.45 | $20.46 | $115.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $23.47 / $332.00
| Facility | | $10.60 | $23.47 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $10.74 / $33.03
| Professional | | $8.25 | $10.74 | $33.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.61 / $10.61 / $10.61
| Facility | | $10.61 | $10.61 | $10.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.61 / $17.14 / $23.01
| Professional | | $10.61 | $17.14 | $23.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.64 / $12.64 / $12.64
| Professional | | $12.64 | $12.64 | $12.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.90 / $51.51 / $88.14
| Facility | | $15.90 | $51.51 | $88.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $44.27 / $243.46
| Facility | | $17.60 | $44.27 | $243.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.05 / $16.23 / $37.18
| Professional | | $11.05 | $16.23 | $37.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $10.83 / $28.45
| Professional | | $7.58 | $10.83 | $28.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.76 / $20.76 / $66.50
| Facility | | $20.76 | $20.76 | $66.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.74 / $19.52 / $23.97
| Professional | | $14.74 | $19.52 | $23.97 |