- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.63 / $31.45 / $52.41
| Facility | | $15.63 | $31.45 | $52.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.66 / $15.76 / $21.15
| Professional | | $13.66 | $15.76 | $21.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.39 / $18.39 / $47.81
| Facility | | $18.39 | $18.39 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $11.12 / $41.51
| Professional | | $8.77 | $11.12 | $41.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.03 / $18.39 / $18.39
| Facility | | $11.03 | $18.39 | $18.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.42 / $18.39 / $18.39
| Professional | | $13.42 | $18.39 | $18.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.85 / $37.46 / $188.72
| Facility | | $12.85 | $37.46 | $188.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.66 / $20.82 / $117.52
| Professional | | $13.66 | $20.82 | $117.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.00 / $27.59 / $332.00
| Facility | | $16.00 | $27.59 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $11.03 / $33.65
| Professional | | $8.40 | $11.03 | $33.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.39 / $18.39 / $18.39
| Facility | | $18.39 | $18.39 | $18.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.21 / $18.39 / $23.72
| Professional | | $16.21 | $18.39 | $23.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.13 / $14.47 / $81.56
| Facility | | $12.13 | $14.47 | $81.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.93 / $45.13 / $247.44
| Facility | | $17.93 | $45.13 | $247.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.63 / $24.15 / $37.88
| Professional | | $14.63 | $24.15 | $37.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $11.03 / $32.53
| Professional | | $7.72 | $11.03 | $32.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.15 / $21.15 / $67.78
| Facility | | $21.15 | $21.15 | $67.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.21 / $20.65 / $24.42
| Professional | | $16.21 | $20.65 | $24.42 |