- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $26.71 / $78.04
| Facility | | $10.60 | $26.71 | $78.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $11.56 / $17.18
| Professional | | $8.59 | $11.56 | $17.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $8.59 / $14.32
| Professional | | $6.87 | $8.59 | $14.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $46.40 / $81.95
| Facility | | $17.60 | $46.40 | $81.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.59 / $12.74
| Professional | | $5.00 | $7.59 | $12.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $21.48 / $26.49
| Facility | | $14.32 | $21.48 | $26.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $14.68 / $22.91
| Professional | | $10.74 | $14.68 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.03 / $14.03 / $14.32
| Facility | | $14.03 | $14.03 | $14.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.01 / $28.74 / $63.41
| Facility | | $10.01 | $28.74 | $63.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $9.68 / $21.88
| Professional | | $7.59 | $9.68 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.02 / $68.02 / $80.00
| Facility | | $68.02 | $68.02 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.78 / $19.38 / $23.62
| Professional | | $12.78 | $19.38 | $23.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.88 / $14.32 / $17.18
| Facility | | $10.88 | $14.32 | $17.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.89 / $14.32 / $16.87
| Professional | | $12.89 | $14.32 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.87 / $151.72 / $271.83
| Facility | | $110.87 | $151.72 | $271.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.88 / $14.32 / $35.69
| Facility | | $10.88 | $14.32 | $35.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.07 / $18.71
| Professional | | $7.59 | $10.07 | $18.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $14.32 / $17.18
| Facility | | $7.60 | $14.32 | $17.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $7.60 / $10.57
| Professional | | $6.01 | $7.60 | $10.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $6.39 / $14.32
| Professional | | $5.58 | $6.39 | $14.32 |