- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.81 / $38.22 / $66.75
| Facility | | $10.81 | $38.22 | $66.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.87 / $8.44 / $9.71
| Professional | | $7.87 | $8.44 | $9.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $5.83 / $5.83
| Professional | | $5.83 | $5.83 | $5.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.38 / $46.25 / $1,426.39
| Facility | | $18.38 | $46.25 | $1,426.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.94 / $63.55 / $8,639.91
| Facility | | $48.94 | $63.55 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.57 / $7.57 / $7.57
| Professional | | $7.57 | $7.57 | $7.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.38 / $12.93 / $32.60
| Facility | | $6.38 | $12.93 | $32.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $11.15 / $16.93
| Professional | | $6.06 | $11.15 | $16.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $5.73 / $13.15
| Professional | | $4.47 | $5.73 | $13.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.54 / $25.12 / $60.37
| Facility | | $14.54 | $25.12 | $60.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $9.50 / $9.50
| Professional | | $5.83 | $9.50 | $9.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.20 / $43.82 / $97.70
| Facility | | $17.20 | $43.82 | $97.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.08 / $33.53 / $92.00
| Facility | | $9.08 | $33.53 | $92.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $8.44 / $24.50
| Professional | | $7.28 | $8.44 | $24.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $265.49 / $265.49 / $333.96
| Facility | | $265.49 | $265.49 | $333.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $14.75 / $32.60
| Facility | | $6.50 | $14.75 | $32.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $11.15 / $16.93
| Professional | | $6.06 | $11.15 | $16.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.71 / $9.71 / $9.71
| Facility | | $9.71 | $9.71 | $9.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $9.71 / $13.82
| Professional | | $8.53 | $9.71 | $13.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $6.30 / $16.89
| Professional | | $4.37 | $6.30 | $16.89 |