- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.96 / $63.95 / $146.30
| Facility | | $14.96 | $63.95 | $146.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.52 / $16.55 / $99.47
| Professional | | $10.52 | $16.55 | $99.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.95 / $37.31 / $293.00
| Facility | | $16.95 | $37.31 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $11.17 / $36.34
| Professional | | $7.00 | $11.17 | $36.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.82 / $84.60 / $182.16
| Facility | | $37.82 | $84.60 | $182.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $12.55 / $74.26
| Professional | | $8.78 | $12.55 | $74.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $20.32 / $51.81
| Facility | | $10.06 | $20.32 | $51.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $17.76 / $27.71
| Professional | | $9.34 | $17.76 | $27.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $15.47 / $24.75
| Professional | | $12.60 | $15.47 | $24.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.38 / $15.47 / $35.58
| Professional | | $12.38 | $15.47 | $35.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.00 / $73.48 / $100.00
| Facility | | $59.00 | $73.48 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $7.73 / $7.73
| Professional | | $7.73 | $7.73 | $7.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $17.82 / $44.39
| Facility | | $11.75 | $17.82 | $44.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $15.47 / $30.57
| Professional | | $10.19 | $15.47 | $30.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.29 / $54.29 / $54.29
| Professional | | $54.29 | $54.29 | $54.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.38 / $15.47 / $21.66
| Professional | | $12.38 | $15.47 | $21.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $15.47 / $15.47
| Facility | | $6.50 | $15.47 | $15.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $8.43 / $29.72
| Professional | | $6.50 | $8.43 | $29.72 |