- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.35 / $40.68 / $72.47
| Facility | | $15.35 | $40.68 | $72.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $15.73 / $26.37
| Professional | | $11.74 | $15.73 | $26.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $8.67 / $8.67
| Professional | | $8.67 | $8.67 | $8.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $18.05 / $46.96
| Facility | | $18.05 | $18.05 | $46.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $10.92 / $40.75
| Professional | | $8.61 | $10.92 | $40.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.84 / $18.05 / $18.05
| Facility | | $10.84 | $18.05 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $18.05 / $18.05
| Professional | | $13.18 | $18.05 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.62 / $36.74 / $185.69
| Facility | | $12.62 | $36.74 | $185.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.45 / $20.46 / $115.68
| Professional | | $13.45 | $20.46 | $115.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.10 / $24.81 / $332.00
| Facility | | $12.10 | $24.81 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $10.84 / $33.04
| Professional | | $8.25 | $10.84 | $33.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $18.05 / $18.05
| Facility | | $18.05 | $18.05 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.91 / $18.05 / $23.30
| Professional | | $15.91 | $18.05 | $23.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $14.45
| Professional | | $14.45 | $14.45 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.35 / $15.91 / $45.29
| Facility | | $14.35 | $15.91 | $45.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.04 / $12.04 / $12.04
| Professional | | $12.04 | $12.04 | $12.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.61 / $44.27 / $243.46
| Facility | | $17.61 | $44.27 | $243.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.28 / $20.46 / $37.20
| Professional | | $14.28 | $20.46 | $37.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.84 / $28.35
| Professional | | $7.59 | $10.84 | $28.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.77 / $20.77 / $66.50
| Facility | | $20.77 | $20.77 | $66.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.91 / $19.54 / $23.97
| Professional | | $15.91 | $19.54 | $23.97 |