- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.94 / $62.29 / $140.34
| Facility | | $9.94 | $62.29 | $140.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.54 / $10.18 / $13.34
| Professional | | $7.54 | $10.18 | $13.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $7.62 / $11.43
| Professional | | $4.00 | $7.62 | $11.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.60 / $36.59 / $66.88
| Facility | | $13.60 | $36.59 | $66.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.06 / $10.17
| Professional | | $5.00 | $6.06 | $10.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.56 / $18.29 / $84.36
| Facility | | $10.56 | $18.29 | $84.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $11.43 / $18.29
| Professional | | $8.57 | $11.43 | $18.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $11.43 / $11.43
| Facility | | $11.43 | $11.43 | $11.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.99 / $25.11 / $58.16
| Facility | | $7.99 | $25.11 | $58.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $9.59 / $19.14
| Professional | | $6.44 | $9.59 | $19.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.00 / $60.00 / $100.00
| Facility | | $56.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.17 / $16.53 / $18.79
| Professional | | $10.17 | $16.53 | $18.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.14 / $11.43 / $23.33
| Facility | | $9.14 | $11.43 | $23.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $11.43 / $14.90
| Professional | | $10.29 | $11.43 | $14.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.62 / $88.86 / $223.02
| Facility | | $54.62 | $88.86 | $223.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.14 / $11.43 / $28.76
| Facility | | $9.14 | $11.43 | $28.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $11.11 / $18.98
| Professional | | $6.06 | $11.11 | $18.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $6.60 / $11.55
| Professional | | $4.80 | $6.60 | $11.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.46 / $5.64 / $11.43
| Professional | | $4.46 | $5.64 | $11.43 |