- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.11 / $69.50 / $368.88
| Facility | | $12.11 | $69.50 | $368.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $11.53 / $92.79
| Professional | | $8.52 | $11.53 | $92.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $6.92 / $11.53
| Professional | | $5.53 | $6.92 | $11.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.68 / $36.20 / $68.03
| Facility | | $12.68 | $36.20 | $68.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.34 / $8.07
| Professional | | $5.00 | $6.34 | $8.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.95 / $19.02 / $80.86
| Facility | | $10.95 | $19.02 | $80.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $11.81 / $18.45
| Professional | | $9.22 | $11.81 | $18.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $11.53 / $11.53
| Facility | | $11.53 | $11.53 | $11.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $25.32 / $58.16
| Facility | | $8.06 | $25.32 | $58.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $11.92 / $17.55
| Professional | | $6.11 | $11.92 | $17.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.17 / $96.85 / $96.85
| Facility | | $76.17 | $96.85 | $96.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.38 / $17.01 / $19.32
| Professional | | $10.38 | $17.01 | $19.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $11.53 / $28.04
| Facility | | $9.22 | $11.53 | $28.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.38 / $11.53 / $16.01
| Professional | | $10.38 | $11.53 | $16.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $166.92 / $228.44 / $559.74
| Facility | | $166.92 | $228.44 | $559.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.24 / $11.53 / $28.74
| Facility | | $9.24 | $11.53 | $28.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $11.53 / $16.67
| Professional | | $6.11 | $11.53 | $16.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.64 / $11.53
| Professional | | $4.84 | $6.64 | $11.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $5.70 / $11.53
| Professional | | $5.70 | $5.70 | $11.53 |