- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.35 / $22.60 / $59.91
| Facility | | $8.35 | $22.60 | $59.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $8.72 / $9.22
| Professional | | $7.20 | $8.72 | $9.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.69 / $9.69 / $25.22
| Facility | | $9.69 | $9.69 | $25.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $5.86 / $21.88
| Professional | | $4.63 | $5.86 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.82 / $9.69 / $9.69
| Facility | | $5.82 | $9.69 | $9.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.69 / $9.69
| Professional | | $7.08 | $9.69 | $9.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.77 / $19.79 / $98.83
| Facility | | $6.77 | $19.79 | $98.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.16 / $10.96 / $54.11
| Professional | | $7.16 | $10.96 | $54.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $14.55 / $332.00
| Facility | | $8.60 | $14.55 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.43 / $5.82 / $17.75
| Professional | | $4.43 | $5.82 | $17.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.69 / $9.69 / $9.69
| Facility | | $9.69 | $9.69 | $9.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.55 / $9.69 / $12.87
| Professional | | $8.55 | $9.69 | $12.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.78 / $28.26 / $57.92
| Facility | | $10.78 | $28.26 | $57.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $6.45 / $6.45
| Professional | | $6.45 | $6.45 | $6.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.85 / $23.84 / $129.58
| Facility | | $11.85 | $23.84 | $129.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $13.33 / $21.21
| Professional | | $7.71 | $13.33 | $21.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.82 / $14.55
| Professional | | $4.07 | $5.82 | $14.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $11.15 / $35.69
| Facility | | $11.15 | $11.15 | $35.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.55 / $10.89 / $14.34
| Professional | | $8.55 | $10.89 | $14.34 |