- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.25 / $28.03 / $75.48
| Facility | | $11.25 | $28.03 | $75.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $9.65 / $13.25
| Professional | | $7.02 | $9.65 | $13.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $13.25 / $34.45
| Facility | | $13.25 | $13.25 | $34.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.54 / $8.08 / $23.67
| Professional | | $6.54 | $8.08 | $23.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.95 / $13.25 / $13.25
| Facility | | $7.95 | $13.25 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $13.25 / $13.25
| Professional | | $9.67 | $13.25 | $13.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $26.86 / $34.40
| Facility | | $9.26 | $26.86 | $34.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $14.98 / $63.87
| Professional | | $9.76 | $14.98 | $63.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.00 / $19.03 / $332.00
| Facility | | $11.00 | $19.03 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $7.95 / $24.25
| Professional | | $6.06 | $7.95 | $24.25 |
- 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 / $12.59 / $16.35
| Professional | | $10.61 | $12.59 | $16.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $8.49 / $8.49
| Professional | | $8.49 | $8.49 | $8.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $21.78 / $59.02
| Facility | | $9.58 | $21.78 | $59.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $8.83 / $8.83
| Professional | | $8.83 | $8.83 | $8.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.14 / $254.50
| Facility | | $13.73 | $32.14 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $15.63 / $27.06
| Professional | | $10.19 | $15.63 | $27.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.95 / $22.15
| Professional | | $5.57 | $7.95 | $22.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.24 / $15.24 / $28.59
| Facility | | $15.24 | $15.24 | $28.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $13.89 / $18.27
| Professional | | $10.96 | $13.89 | $18.27 |