- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $27.54 / $79.43
| Facility | | $10.23 | $27.54 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $40.74
| Professional | | $7.94 | $10.96 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $31.62
| Facility | | $12.02 | $12.02 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.24 / $28.84
| Professional | | $6.03 | $7.24 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $12.02 / $12.02
| Facility | | $7.24 | $12.02 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.02 / $12.02
| Professional | | $8.91 | $12.02 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $26.30 / $131.83
| Facility | | $9.12 | $26.30 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $16.98 / $81.28
| Professional | | $9.55 | $16.98 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $15.85 / $40.74
| Facility | | $10.00 | $15.85 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $12.02 / $22.91
| Professional | | $5.75 | $12.02 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $12.02
| Facility | | $12.02 | $12.02 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $12.02 / $19.50
| Professional | | $10.72 | $12.02 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $30.20 / $58.88
| Facility | | $9.55 | $30.20 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $22.91 / $50,118.72
| Facility | | $15.14 | $22.91 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $10.96 / $15.14
| Facility | | $7.24 | $10.96 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.24 / $18.20
| Professional | | $5.13 | $7.24 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $12.02 / $29.51
| Facility | | $10.23 | $12.02 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $12.59 / $38.90
| Professional | | $10.23 | $12.59 | $38.90 |