- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $35.48 / $63.10
| Facility | | $15.14 | $35.48 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $15.85 / $30.20
| Professional | | $12.88 | $15.85 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $45.71
| Facility | | $17.78 | $17.78 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $8.91 / $41.69
| Professional | | $8.71 | $8.91 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $17.78 / $17.78
| Facility | | $10.47 | $17.78 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $17.78 / $17.78
| Professional | | $12.88 | $17.78 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $38.02 / $190.55
| Facility | | $13.49 | $38.02 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $20.89 / $91.20
| Professional | | $11.48 | $20.89 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $22.91 / $58.88
| Facility | | $14.45 | $22.91 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $12.30 / $33.88
| Professional | | $8.32 | $12.30 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $17.78
| Facility | | $17.78 | $17.78 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $17.78 / $25.70
| Professional | | $15.49 | $17.78 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $60.26 / $79.43
| Facility | | $14.79 | $60.26 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $33.11 / $50,118.72
| Facility | | $21.88 | $33.11 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $15.85 / $21.88
| Facility | | $10.47 | $15.85 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $10.47 / $26.92
| Professional | | $7.41 | $10.47 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $17.78 / $42.66
| Facility | | $15.14 | $17.78 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $18.62 / $56.23
| Professional | | $15.14 | $18.62 | $56.23 |