- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $19.66 / $68.81
| Facility | | $0.02 | $19.66 | $68.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.04 / $19.66 / $19.66
| Professional | | $18.04 | $19.66 | $19.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.29 / $12.29 / $12.29
| Professional | | $12.29 | $12.29 | $12.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.03 / $7.49 / $18.39
| Professional | | $4.03 | $7.49 | $18.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.07 / $10.11 / $10.11
| Facility | | $6.07 | $10.11 | $10.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.15 / $10.11 / $10.11
| Professional | | $6.15 | $10.11 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $51.03 / $84.04
| Facility | | $50.00 | $51.03 | $84.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.53 / $24.47 / $115.39
| Professional | | $14.53 | $24.47 | $115.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $21.53
| Professional | | $5.05 | $5.05 | $21.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Facility | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $22.72 / $23.84
| Professional | | $5.05 | $22.72 | $23.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.24 / $4.24 / $4.24
| Professional | | $4.24 | $4.24 | $4.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.88 / $30.60 / $165.55
| Facility | | $6.88 | $30.60 | $165.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $51.03 / $597.00
| Facility | | $13.73 | $51.03 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.98 / $27.50 / $40.43
| Professional | | $22.98 | $27.50 | $40.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $14.93 / $40.72
| Professional | | $9.67 | $14.93 | $40.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.16 / $26.16 / $29.17
| Facility | | $26.16 | $26.16 | $29.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.19 / $23.35 / $27.34
| Professional | | $20.19 | $23.35 | $27.34 |