- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.86 / $23.70 / $40.36
| Facility | | $12.86 | $23.70 | $40.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $12.10 / $13.54
| Professional | | $10.06 | $12.10 | $13.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $13.54 / $35.20
| Facility | | $13.54 | $13.54 | $35.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.69 / $8.19 / $28.03
| Professional | | $6.69 | $8.19 | $28.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $13.54 / $13.54
| Facility | | $8.11 | $13.54 | $13.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $13.54 / $13.54
| Professional | | $9.88 | $13.54 | $13.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $27.56 / $35.31
| Facility | | $9.46 | $27.56 | $35.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.98 / $13.04 / $65.26
| Professional | | $9.98 | $13.04 | $65.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $20.30 / $332.00
| Facility | | $12.00 | $20.30 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.19 / $8.11 / $24.78
| Professional | | $6.19 | $8.11 | $24.78 |
- 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 / $12.86 / $16.69
| Professional | | $10.61 | $12.86 | $16.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.48 / $9.48 / $9.48
| Professional | | $9.48 | $9.48 | $9.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.93 / $32.67 / $250.58
| Facility | | $11.93 | $32.67 | $250.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.94 / $254.50
| Facility | | $13.73 | $32.94 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $13.83 / $27.66
| Professional | | $10.87 | $13.83 | $27.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $8.11 / $20.65
| Professional | | $5.69 | $8.11 | $20.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.57 / $15.57 / $27.04
| Facility | | $15.57 | $15.57 | $27.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.17 / $14.19 / $18.66
| Professional | | $11.17 | $14.19 | $18.66 |