- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.16 / $40.65 / $113.19
| Facility | | $12.16 | $40.65 | $113.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.57 / $11.65 / $23.12
| Professional | | $9.57 | $11.65 | $23.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $8.59 / $23.63
| Professional | | $8.59 | $8.59 | $23.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.31 / $84.81 / $8,639.91
| Facility | | $65.31 | $84.81 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.17 / $11.17 / $11.17
| Professional | | $11.17 | $11.17 | $11.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.41 / $18.62 / $47.81
| Facility | | $9.41 | $18.62 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $16.44 / $22.85
| Professional | | $8.08 | $16.44 | $22.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $8.44 / $19.39
| Professional | | $6.59 | $8.44 | $19.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.25 / $37.34 / $72.77
| Facility | | $19.25 | $37.34 | $72.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $12.50 / $22.34
| Professional | | $8.59 | $12.50 | $22.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.16 / $33.20 / $106.37
| Facility | | $12.16 | $33.20 | $106.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $11.74 / $40.65
| Professional | | $10.02 | $11.74 | $40.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178.82 / $184.77 / $257.02
| Facility | | $178.82 | $184.77 | $257.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.59 / $19.67 / $47.81
| Facility | | $9.59 | $19.67 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $16.44 / $22.85
| Professional | | $8.08 | $16.44 | $22.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $14.32 / $14.32
| Facility | | $14.32 | $14.32 | $14.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $14.32 / $16.82
| Professional | | $12.60 | $14.32 | $16.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $8.88 / $24.92
| Professional | | $6.44 | $8.88 | $24.92 |