- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.25 / $60.53 / $274.01
| Facility | | $16.25 | $60.53 | $274.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.07 / $12.06 / $23.94
| Professional | | $11.07 | $12.06 | $23.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $8.30 / $13.84
| Professional | | $8.30 | $8.30 | $13.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.73 / $90.55 / $8,639.91
| Facility | | $69.73 | $90.55 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.80 / $10.80 / $10.80
| Professional | | $10.80 | $10.80 | $10.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.10 / $18.44 / $45.64
| Facility | | $9.10 | $18.44 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $16.11 / $24.12
| Professional | | $8.69 | $16.11 | $24.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $11.07 / $18.73
| Professional | | $6.37 | $11.07 | $18.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.55 / $38.11 / $100.55
| Facility | | $20.55 | $38.11 | $100.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $12.62 / $13.50
| Professional | | $8.30 | $12.62 | $13.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.57 / $57.16 / $238.70
| Facility | | $14.57 | $57.16 | $238.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.37 / $12.06 / $47.75
| Professional | | $10.37 | $12.06 | $47.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $554.85 / $578.97 / $815.26
| Facility | | $554.85 | $578.97 | $815.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $21.00 / $45.64
| Facility | | $9.27 | $21.00 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $16.11 / $24.12
| Professional | | $8.69 | $16.11 | $24.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.84 / $13.84 / $13.84
| Facility | | $13.84 | $13.84 | $13.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.18 / $13.84 / $19.68
| Professional | | $12.18 | $13.84 | $19.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.46 / $16.61 / $16.61
| Facility | | $12.46 | $16.61 | $16.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.81 / $10.10 / $25.33
| Professional | | $5.81 | $10.10 | $25.33 |