- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.74 / $42.60 / $72.36
| Facility | | $15.74 | $42.60 | $72.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.55 / $13.28 / $20.37
| Professional | | $8.55 | $13.28 | $20.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.52 / $18.52 / $48.15
| Facility | | $18.52 | $18.52 | $48.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $9.44 / $27.17
| Professional | | $5.47 | $9.44 | $27.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.11 / $18.52 / $18.52
| Facility | | $11.11 | $18.52 | $18.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.52 / $18.52 / $18.52
| Professional | | $13.52 | $18.52 | $18.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.95 / $37.46 / $121.96
| Facility | | $12.95 | $37.46 | $121.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.45 / $18.63 / $89.27
| Professional | | $10.45 | $18.63 | $89.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.22 / $30.56 / $332.00
| Facility | | $22.22 | $30.56 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $11.11 / $33.89
| Professional | | $7.41 | $11.11 | $33.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.26 / $15.74 / $22.26
| Professional | | $10.26 | $15.74 | $22.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.96 / $12.96 / $12.96
| Professional | | $12.96 | $12.96 | $12.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $30.60 / $66.48
| Facility | | $12.63 | $30.60 | $66.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $45.13 / $200.23
| Facility | | $16.98 | $45.13 | $200.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.31 / $15.16 / $30.10
| Professional | | $10.31 | $15.16 | $30.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.81 / $9.07 / $27.78
| Professional | | $6.81 | $9.07 | $27.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.30 / $21.30 / $27.45
| Facility | | $21.30 | $21.30 | $27.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.26 / $15.74 / $22.26
| Professional | | $10.26 | $15.74 | $22.26 |