- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.26 / $54.72 / $159.82
| Facility | | $11.26 | $54.72 | $159.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $9.65 / $13.25
| Professional | | $7.02 | $9.65 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $7.95 / $7.95
| Professional | | $7.95 | $7.95 | $7.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.48 / $81.13 / $8,639.91
| Facility | | $62.48 | $81.13 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $10.34 / $10.34
| Professional | | $10.34 | $10.34 | $10.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $17.22 / $38.75
| Facility | | $8.71 | $17.22 | $38.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $15.28 / $21.16
| Professional | | $7.77 | $15.28 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.10 / $10.60 / $17.94
| Professional | | $6.10 | $10.60 | $17.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.73 / $35.36 / $77.70
| Facility | | $18.73 | $35.36 | $77.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $10.63 / $12.50
| Professional | | $7.95 | $10.63 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.26 / $50.22 / $166.38
| Facility | | $11.26 | $50.22 | $166.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $10.47 / $54.72
| Professional | | $7.02 | $10.47 | $54.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $20.53 / $43.46
| Facility | | $8.86 | $20.53 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $15.28 / $21.16
| Professional | | $7.77 | $15.28 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $13.25 / $19.89
| Facility | | $13.25 | $13.25 | $19.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $13.25 / $19.89
| Professional | | $11.66 | $13.25 | $19.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $7.60 / $7.60
| Facility | | $7.60 | $7.60 | $7.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $8.61 / $24.25
| Professional | | $5.96 | $8.61 | $24.25 |