- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.78 / $55.81 / $187.61
| Facility | | $10.78 | $55.81 | $187.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $11.16 / $11.84
| Professional | | $7.74 | $11.16 | $11.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $7.74 / $7.74
| Professional | | $4.51 | $7.74 | $7.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.09 / $41.28 / $75.47
| Facility | | $15.09 | $41.28 | $75.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.84 / $12.64
| Professional | | $5.00 | $6.84 | $12.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.90 / $20.64 / $77.23
| Facility | | $12.90 | $20.64 | $77.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.68 / $12.85 / $19.35
| Professional | | $9.68 | $12.85 | $19.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.90 / $13.54 / $13.54
| Facility | | $12.90 | $13.54 | $13.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $28.36 / $64.77
| Facility | | $9.02 | $28.36 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $9.39 / $21.88
| Professional | | $6.84 | $9.39 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $61.32 / $100.00
| Facility | | $55.00 | $61.32 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $12.90 / $20.05
| Facility | | $10.32 | $12.90 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $12.90 / $16.80
| Professional | | $11.61 | $12.90 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $552.07 / $755.21 / $3,424.68
| Facility | | $552.07 | $755.21 | $3,424.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $12.90 / $32.42
| Facility | | $10.32 | $12.90 | $32.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $9.93 / $18.63
| Professional | | $6.84 | $9.93 | $18.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $8.85 / $9.73
| Facility | | $4.51 | $8.85 | $9.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $7.39 / $10.67
| Professional | | $5.42 | $7.39 | $10.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.37 / $12.90
| Professional | | $5.03 | $6.37 | $12.90 |