- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.95 / $26.82 / $50.19
| Facility | | $12.95 | $26.82 | $50.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $14.67 / $15.93
| Professional | | $10.70 | $14.67 | $15.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.87 / $16.87 / $43.86
| Facility | | $16.87 | $16.87 | $43.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $9.56 / $31.98
| Professional | | $6.77 | $9.56 | $31.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $16.87 / $16.87
| Facility | | $10.11 | $16.87 | $16.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.32 / $16.87 / $16.87
| Professional | | $12.32 | $16.87 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.79 / $33.90 / $154.88
| Facility | | $11.79 | $33.90 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.58 / $18.98 / $106.51
| Professional | | $12.58 | $18.98 | $106.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.60 / $23.62 / $332.00
| Facility | | $11.60 | $23.62 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $10.11 / $30.87
| Professional | | $7.71 | $10.11 | $30.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.87 / $16.87 / $16.87
| Facility | | $16.87 | $16.87 | $16.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $16.87 / $20.28
| Professional | | $9.94 | $16.87 | $20.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.86 / $42.31 / $260.10
| Facility | | $14.86 | $42.31 | $260.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.46 / $40.86 / $227.76
| Facility | | $16.46 | $40.86 | $227.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.13 / $18.98 / $34.75
| Professional | | $13.13 | $18.98 | $34.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $10.11 / $24.46
| Professional | | $7.09 | $10.11 | $24.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.39 / $19.39 / $57.84
| Facility | | $19.39 | $19.39 | $57.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.65 / $16.20 / $21.76
| Professional | | $9.65 | $16.20 | $21.76 |