- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.82 / $51.51 / $295.48
| Facility | | $8.82 | $51.51 | $295.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $10.35 / $13.93
| Professional | | $6.97 | $10.35 | $13.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $6.97 / $8.06
| Professional | | $6.97 | $6.97 | $8.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.40 / $38.31 / $69.89
| Facility | | $14.40 | $38.31 | $69.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.15 / $10.33
| Professional | | $5.00 | $6.15 | $10.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.61 / $18.00 / $81.31
| Facility | | $11.61 | $18.00 | $81.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $11.46 / $18.11
| Professional | | $8.13 | $11.46 | $18.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.50 / $11.50 / $11.61
| Facility | | $11.50 | $11.50 | $11.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $25.52 / $58.16
| Facility | | $8.11 | $25.52 | $58.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.15 / $8.48 / $19.69
| Professional | | $6.15 | $8.48 | $19.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.14 / $137.50 / $137.50
| Facility | | $108.14 | $137.50 | $137.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.28 / $11.61 / $17.10
| Facility | | $9.28 | $11.61 | $17.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.45 / $11.61 / $15.12
| Professional | | $10.45 | $11.61 | $15.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $252.60 / $345.66 / $976.22
| Facility | | $252.60 | $345.66 | $976.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.28 / $11.61 / $32.07
| Facility | | $9.28 | $11.61 | $32.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.15 / $8.92 / $16.82
| Professional | | $6.15 | $8.92 | $16.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.65 / $11.61
| Professional | | $4.88 | $6.65 | $11.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.53 / $5.73 / $11.61
| Professional | | $4.53 | $5.73 | $11.61 |