- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $56.23 / $117.49
| Facility | | $16.98 | $56.23 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $18.20 / $45.71
| Professional | | $15.14 | $18.20 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.15 / $48.98 / $5,011.87
| Facility | | $37.15 | $48.98 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $15.85
| Professional | | $15.85 | $15.85 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $31.62 / $69.18
| Facility | | $13.49 | $31.62 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $22.91 / $35.48
| Professional | | $12.59 | $22.91 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $20.42 / $29.51
| Professional | | $9.55 | $20.42 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $20.42
| Facility | | $20.42 | $20.42 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $14.13 / $35.48
| Professional | | $7.41 | $14.13 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $47.86 / $93.33
| Facility | | $29.51 | $47.86 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $12.30 / $15.14
| Professional | | $6.46 | $12.30 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $54.95 / $117.49
| Facility | | $16.98 | $54.95 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $19.05 / $75.86
| Professional | | $15.14 | $19.05 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $269.15 / $269.15 / $269.15
| Facility | | $269.15 | $269.15 | $269.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $11.48 / $20.42
| Facility | | $7.24 | $11.48 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $11.48 / $20.89
| Professional | | $7.24 | $11.48 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $20.42 / $24.55
| Facility | | $13.49 | $20.42 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $12.30 / $28.18
| Professional | | $4.68 | $12.30 | $28.18 |