- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $26.30 / $69.18
| Facility | | $9.77 | $26.30 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.00 / $17.38
| Professional | | $7.94 | $10.00 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $3.16 / $3.16
| Professional | | $3.16 | $3.16 | $3.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $30.20
| Facility | | $11.48 | $11.48 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $5.89 / $27.54
| Professional | | $5.75 | $5.89 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $11.48 / $11.48
| Facility | | $6.92 | $11.48 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $11.48 / $11.48
| Professional | | $8.51 | $11.48 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $24.55 / $125.89
| Facility | | $8.91 | $24.55 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $16.60 / $77.62
| Professional | | $7.59 | $16.60 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $15.14 / $40.74
| Facility | | $10.00 | $15.14 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $8.13 / $22.39
| Professional | | $5.50 | $8.13 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $11.48
| Facility | | $11.48 | $11.48 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $11.48 / $15.49
| Professional | | $10.23 | $11.48 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $23.44 / $51.29
| Facility | | $9.12 | $23.44 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $21.88 / $50,118.72
| Facility | | $14.45 | $21.88 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $10.47 / $14.45
| Facility | | $6.92 | $10.47 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $6.92 / $17.78
| Professional | | $4.90 | $6.92 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $11.48 / $28.18
| Facility | | $9.77 | $11.48 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $12.30 / $37.15
| Professional | | $9.77 | $12.30 | $37.15 |