- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.65 / $26.96 / $46.57
| Facility | | $12.65 | $26.96 | $46.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.13 / $14.25 / $15.43
| Professional | | $12.13 | $14.25 | $15.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.34 / $16.34 / $42.48
| Facility | | $16.34 | $16.34 | $42.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.80 / $9.88 / $36.86
| Professional | | $7.80 | $9.88 | $36.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $16.34 / $16.34
| Facility | | $9.80 | $16.34 | $16.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.93 / $16.34 / $16.34
| Professional | | $11.93 | $16.34 | $16.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.41 / $33.22 / $167.73
| Facility | | $11.41 | $33.22 | $167.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.15 / $18.26 / $104.67
| Professional | | $12.15 | $18.26 | $104.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.10 / $22.88 / $332.00
| Facility | | $12.10 | $22.88 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $9.80 / $29.90
| Professional | | $7.47 | $9.80 | $29.90 |
- 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 / $15.52 / $19.64
| Professional | | $10.61 | $15.52 | $19.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.91 / $147.91 / $147.91
| Facility | | $147.91 | $147.91 | $147.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $40.02 / $219.91
| Facility | | $15.93 | $40.02 | $219.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.05 / $20.35 / $33.65
| Professional | | $13.05 | $20.35 | $33.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $9.80 / $25.33
| Professional | | $6.86 | $9.80 | $25.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.79 / $18.79 / $60.18
| Facility | | $18.79 | $18.79 | $60.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.55 / $17.68 / $21.69
| Professional | | $13.55 | $17.68 | $21.69 |