- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.69 / $27.13 / $44.18
| Facility | | $12.69 | $27.13 | $44.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $13.31 / $15.50
| Professional | | $10.08 | $13.31 | $15.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.50 / $15.50 / $40.29
| Facility | | $15.50 | $15.50 | $40.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $9.36 / $34.97
| Professional | | $7.40 | $9.36 | $34.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $15.50 / $15.50
| Facility | | $9.30 | $15.50 | $15.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.32 / $15.50 / $15.50
| Professional | | $11.32 | $15.50 | $15.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $31.10 / $158.79
| Facility | | $10.83 | $31.10 | $158.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $17.53 / $99.15
| Professional | | $11.50 | $17.53 | $99.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.60 / $21.70 / $332.00
| Facility | | $11.60 | $21.70 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.30 / $28.37
| Professional | | $7.08 | $9.30 | $28.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.50 / $15.50 / $15.50
| Facility | | $15.50 | $15.50 | $15.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.67 / $15.50 / $20.00
| Professional | | $13.67 | $15.50 | $20.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $30.40 / $68.31
| Facility | | $13.65 | $30.40 | $68.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.12 / $37.47 / $208.19
| Facility | | $15.12 | $37.47 | $208.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.43 / $17.76 / $31.93
| Professional | | $12.43 | $17.76 | $31.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $9.30 / $23.49
| Professional | | $6.51 | $9.30 | $23.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.82 / $17.82 / $57.10
| Facility | | $17.82 | $17.82 | $57.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.67 / $17.41 / $20.58
| Professional | | $13.67 | $17.41 | $20.58 |