- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $36.31 / $75.86
| Facility | | $14.13 | $36.31 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $14.79 / $56.23
| Professional | | $12.02 | $14.79 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $41.69
| Facility | | $16.22 | $16.22 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $8.32 / $38.02
| Professional | | $7.94 | $8.32 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $16.22 / $16.22
| Facility | | $9.77 | $16.22 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $16.22 / $16.22
| Professional | | $11.75 | $16.22 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $34.67 / $173.78
| Facility | | $12.30 | $34.67 | $173.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $23.44 / $97.72
| Professional | | $10.47 | $23.44 | $97.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $20.89 / $54.95
| Facility | | $13.49 | $20.89 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $11.22 / $31.62
| Professional | | $7.59 | $11.22 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $12.59
| Facility | | $12.59 | $12.59 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $16.22 / $22.91
| Professional | | $12.59 | $16.22 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $33.88 / $72.44
| Facility | | $13.49 | $33.88 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $28.84 / $50,118.72
| Facility | | $16.22 | $28.84 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $14.45 / $19.50
| Facility | | $9.77 | $14.45 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $9.77 / $24.55
| Professional | | $6.76 | $9.77 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $13.80 / $38.90
| Facility | | $12.59 | $13.80 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $16.22 / $51.29
| Professional | | $12.59 | $16.22 | $51.29 |