- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.37 / $51.13 / $206.70
| Facility | | $10.37 | $51.13 | $206.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $12.22 / $13.31
| Professional | | $8.23 | $12.22 | $13.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $8.23 / $9.52
| Professional | | $6.59 | $8.23 | $9.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.82 / $43.36 / $77.37
| Facility | | $14.82 | $43.36 | $77.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.27 / $10.98
| Professional | | $5.00 | $7.27 | $10.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.72 / $21.27 / $40.70
| Facility | | $13.72 | $21.27 | $40.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $13.54 / $20.58
| Professional | | $9.86 | $13.54 | $20.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.45 / $13.45 / $13.72
| Facility | | $13.45 | $13.45 | $13.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.59 / $30.15 / $68.75
| Facility | | $9.59 | $30.15 | $68.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.27 / $9.93 / $22.98
| Professional | | $7.27 | $9.93 | $22.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $83.93 / $222.00
| Facility | | $55.00 | $83.93 | $222.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $13.72 / $18.64
| Facility | | $10.29 | $13.72 | $18.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.35 / $13.72 / $17.88
| Professional | | $12.35 | $13.72 | $17.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.43 / $13.72 / $32.19
| Facility | | $10.43 | $13.72 | $32.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.27 / $10.56 / $19.80
| Professional | | $7.27 | $10.56 | $19.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.94 / $5.76 / $13.72
| Facility | | $4.94 | $5.76 | $13.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $7.85 / $11.20
| Professional | | $5.76 | $7.85 | $11.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.35 / $6.78 / $13.72
| Professional | | $5.35 | $6.78 | $13.72 |