- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $26.30 / $79.43
| Facility | | $8.71 | $26.30 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.51 / $28.84
| Professional | | $7.08 | $8.51 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $13.49 / $60.26
| Facility | | $8.71 | $13.49 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $10.47 / $21.88
| Professional | | $4.37 | $10.47 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $23.44 / $36.31
| Facility | | $19.05 | $23.44 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $11.75
| Professional | | $9.77 | $9.77 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $15.14 / $37.15
| Facility | | $7.59 | $15.14 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $12.88 / $16.22
| Professional | | $7.08 | $12.88 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $56.23 / $7,079.46
| Facility | | $12.59 | $56.23 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $13.80 / $19.05
| Professional | | $10.96 | $13.80 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $27.54
| Professional | | $10.47 | $10.47 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $14.13 / $53.70
| Facility | | $10.47 | $14.13 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $13.49 / $60.26
| Facility | | $8.71 | $13.49 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $10.47 / $21.88
| Professional | | $4.68 | $10.47 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $12.59 / $23.44
| Facility | | $9.33 | $12.59 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $10.00 / $15.85
| Professional | | $9.33 | $10.00 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $10.47 / $15.49
| Facility | | $5.50 | $10.47 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.09 / $7.76 / $21.88
| Professional | | $2.09 | $7.76 | $21.88 |