- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $47.86 / $81.28
| Facility | | $21.38 | $47.86 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $21.88 / $30.20
| Professional | | $18.20 | $21.88 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $6.76
| Professional | | $6.76 | $6.76 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $25.12 / $64.57
| Facility | | $25.12 | $25.12 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $15.14 / $57.54
| Professional | | $12.30 | $15.14 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $25.12 / $25.12
| Facility | | $15.14 | $25.12 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $25.12 / $25.12
| Professional | | $18.20 | $25.12 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $53.70 / $269.15
| Facility | | $19.05 | $53.70 | $269.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $35.48 / $138.04
| Professional | | $16.22 | $35.48 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $32.36 / $89.13
| Facility | | $21.88 | $32.36 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $17.38 / $47.86
| Professional | | $11.75 | $17.38 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $25.12 / $25.12
| Facility | | $25.12 | $25.12 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $25.12 / $32.36
| Professional | | $21.38 | $25.12 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $30.90 / $112.20
| Facility | | $19.95 | $30.90 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $46.77 / $50,118.72
| Facility | | $29.51 | $46.77 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $22.39 / $30.90
| Facility | | $15.14 | $22.39 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $15.14 / $38.02
| Professional | | $10.47 | $15.14 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $25.12 / $57.54
| Facility | | $21.38 | $25.12 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $26.30 / $70.79
| Professional | | $21.38 | $26.30 | $70.79 |