- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $34.65 / $79.29
| Facility | | $8.11 | $34.65 | $79.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $7.36 / $41.69
| Professional | | $5.70 | $7.36 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.85 / $7.85 / $7.85
| Professional | | $7.85 | $7.85 | $7.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.75 / $23.66 / $293.00
| Facility | | $10.75 | $23.66 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.92 / $6.05 / $19.52
| Professional | | $3.92 | $6.05 | $19.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.22 / $60.36 / $101.06
| Facility | | $21.22 | $60.36 | $101.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.76 / $6.80 / $47.09
| Professional | | $4.76 | $6.80 | $47.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.38 / $12.89 / $32.11
| Facility | | $6.38 | $12.89 | $32.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.59 / $11.15 / $15.66
| Professional | | $5.59 | $11.15 | $15.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $9.81 / $15.70
| Professional | | $7.84 | $9.81 | $15.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.85 / $9.81 / $21.39
| Professional | | $7.85 | $9.81 | $21.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.88 / $5.88 / $5.88
| Professional | | $5.88 | $5.88 | $5.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.87 / $10.97 / $28.21
| Facility | | $6.87 | $10.97 | $28.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $9.81 / $16.63
| Professional | | $5.72 | $9.81 | $16.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.43 / $34.43 / $34.43
| Professional | | $34.43 | $34.43 | $34.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.85 / $9.81 / $13.73
| Professional | | $7.85 | $9.81 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.12 / $4.62 / $15.44
| Professional | | $4.12 | $4.62 | $15.44 |