- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $67.61 / $144.54
| Facility | | $22.39 | $67.61 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.98 / $144.54
| Professional | | $12.88 | $16.98 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $50.12 / $109.65
| Facility | | $10.00 | $50.12 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.59 / $33.88
| Professional | | $8.71 | $12.59 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $75.86 / $173.78
| Facility | | $35.48 | $75.86 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $15.14 / $56.23
| Professional | | $10.47 | $15.14 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $37.15 / $77.62
| Facility | | $14.13 | $37.15 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $13.18 / $33.11
| Professional | | $8.71 | $13.18 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $21.88 / $34.67
| Professional | | $14.45 | $21.88 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $21.88 / $47.86
| Professional | | $17.38 | $21.88 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $102.33 / $102.33
| Facility | | $102.33 | $102.33 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $25.70
| Professional | | $12.88 | $12.88 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $21.88 / $56.23
| Facility | | $14.13 | $21.88 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $13.18 / $43.65
| Professional | | $9.12 | $13.18 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $75.86 / $75.86 / $75.86
| Professional | | $75.86 | $75.86 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $18.62 / $24.55
| Professional | | $14.45 | $18.62 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $12.02 / $21.88
| Facility | | $9.12 | $12.02 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $9.77 / $36.31
| Professional | | $7.59 | $9.77 | $36.31 |