- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.66 / $52.15 / $65.79
| Facility | | $12.66 | $52.15 | $65.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $13.23 / $13.49
| Professional | | $10.68 | $13.23 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.72 / $80.15 / $8,639.91
| Facility | | $61.72 | $80.15 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.62 / $11.62 / $11.62
| Professional | | $11.62 | $11.62 | $11.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $19.85 / $49.98
| Facility | | $9.80 | $19.85 | $49.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $16.93 / $26.23
| Professional | | $9.32 | $16.93 | $26.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.85 / $8.78 / $20.17
| Professional | | $6.85 | $8.78 | $20.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.50 / $150.88 / $168.80
| Facility | | $66.50 | $150.88 | $168.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.66 / $40.79 / $65.79
| Facility | | $12.66 | $40.79 | $65.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $13.29 / $61.54
| Professional | | $10.68 | $13.29 | $61.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.98 / $22.64 / $49.98
| Facility | | $9.98 | $22.64 | $49.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $16.93 / $26.23
| Professional | | $9.32 | $16.93 | $26.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.90 / $14.90 / $14.90
| Facility | | $14.90 | $14.90 | $14.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.11 / $14.90 / $17.42
| Professional | | $13.11 | $14.90 | $17.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $8.94 / $27.27
| Professional | | $6.26 | $8.94 | $27.27 |