- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $66.42 / $174.68
| Facility | | $14.34 | $66.42 | $174.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.33 / $15.07 / $19.39
| Professional | | $13.33 | $15.07 | $19.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $10.11
| Professional | | $10.11 | $10.11 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.07 / $110.47 / $8,639.91
| Facility | | $85.07 | $110.47 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.16 / $13.16 / $13.16
| Professional | | $13.16 | $13.16 | $13.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.09 / $22.47 / $56.50
| Facility | | $11.09 | $22.47 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.62
| Professional | | $10.56 | $19.41 | $29.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $10.61 / $22.84
| Professional | | $7.76 | $10.61 | $22.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.58 / $65.04 / $203.78
| Facility | | $28.58 | $65.04 | $203.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $16.00 / $16.00
| Professional | | $10.11 | $16.00 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.77 / $58.19 / $198.83
| Facility | | $15.77 | $58.19 | $198.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.15 / $15.28 / $69.67
| Professional | | $12.15 | $15.28 | $69.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.30 / $25.62 / $56.50
| Facility | | $11.30 | $25.62 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.62
| Professional | | $10.56 | $19.41 | $29.62 |
- 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
- $14.85 / $16.87 / $24.01
| Professional | | $14.85 | $16.87 | $24.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.18 / $20.23 / $20.23
| Facility | | $15.18 | $20.23 | $20.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $12.78 / $29.56
| Professional | | $7.59 | $12.78 | $29.56 |