- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.42 / $31.68 / $71.98
| Facility | | $11.42 | $31.68 | $71.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.97 / $11.70 / $13.44
| Professional | | $9.97 | $11.70 | $13.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $6.45 / $6.45
| Professional | | $6.45 | $6.45 | $6.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.44 / $13.44 / $34.94
| Facility | | $13.44 | $13.44 | $34.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.41 / $8.13 / $30.33
| Professional | | $6.41 | $8.13 | $30.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $13.44 / $13.44
| Facility | | $8.06 | $13.44 | $13.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.81 / $13.44 / $13.44
| Professional | | $9.81 | $13.44 | $13.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.40 / $27.56 / $137.79
| Facility | | $9.40 | $27.56 | $137.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.98 / $14.98 / $86.30
| Professional | | $9.98 | $14.98 | $86.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $17.47 / $332.00
| Facility | | $6.50 | $17.47 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $8.06 / $24.60
| Professional | | $6.14 | $8.06 | $24.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $12.63 / $12.63
| Facility | | $12.63 | $12.63 | $12.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.84 / $12.90 / $16.14
| Professional | | $11.84 | $12.90 | $16.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $10.10 / $10.10
| Professional | | $10.10 | $10.10 | $10.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $33.60 / $59.87
| Facility | | $11.02 | $33.60 | $59.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $33.20 / $180.66
| Facility | | $13.73 | $33.20 | $180.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $16.00 / $27.69
| Professional | | $10.67 | $16.00 | $27.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $8.06 / $20.16
| Professional | | $5.64 | $8.06 | $20.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.46 / $15.46 / $61.81
| Facility | | $15.46 | $15.46 | $61.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.84 / $15.00 / $17.82
| Professional | | $11.84 | $15.00 | $17.82 |