- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.89 / $89.10 / $430.89
| Facility | | $12.89 | $89.10 | $430.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $9.05 / $18.46
| Professional | | $8.57 | $9.05 | $18.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $7.79 / $23.07
| Professional | | $7.48 | $7.79 | $23.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.09 / $24.19 / $91.84
| Facility | | $13.09 | $24.19 | $91.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.99 / $11.22 / $23.69
| Professional | | $4.99 | $11.22 | $23.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.81 / $25.55 / $136.82
| Facility | | $6.81 | $25.55 | $136.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.89 / $14.46 / $19.48
| Professional | | $6.89 | $14.46 | $19.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $12.03 / $13.23
| Professional | | $8.88 | $12.03 | $13.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.47 / $13.09 / $27.53
| Facility | | $12.47 | $13.09 | $27.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.47 / $18.71 / $34.29
| Facility | | $12.47 | $18.71 | $34.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $11.22
| Professional | | $11.22 | $11.22 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $20.46 / $34.29
| Facility | | $14.34 | $20.46 | $34.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $12.47 / $33.22
| Professional | | $9.35 | $12.47 | $33.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $5.24 / $13.75
| Professional | | $5.24 | $5.24 | $13.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $5.61 / $6.46
| Professional | | $5.61 | $5.61 | $6.46 |