- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $29.87 / $65.36
| Facility | | $12.41 | $29.87 | $65.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.61 / $13.37 / $25.54
| Professional | | $10.61 | $13.37 | $25.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $7.30 / $7.30
| Professional | | $7.30 | $7.30 | $7.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.32 / $15.32 / $39.83
| Facility | | $15.32 | $15.32 | $39.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $9.19 / $33.84
| Professional | | $6.82 | $9.19 | $33.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $15.32 / $15.32
| Facility | | $9.19 | $15.32 | $15.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $15.32 / $15.32
| Professional | | $11.18 | $15.32 | $15.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.70 / $31.10 / $153.63
| Facility | | $10.70 | $31.10 | $153.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $14.59 / $97.33
| Professional | | $11.50 | $14.59 | $97.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $21.45 / $332.00
| Facility | | $12.00 | $21.45 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $9.19 / $28.04
| Professional | | $7.00 | $9.19 | $28.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.88 / $14.88 / $14.88
| Facility | | $14.88 | $14.88 | $14.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.02 / $14.88 / $18.97
| Professional | | $13.02 | $14.88 | $18.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.45 / $17.02 / $67.94
| Facility | | $10.45 | $17.02 | $67.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.94 / $37.47 / $208.19
| Facility | | $14.94 | $37.47 | $208.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $19.64 / $31.56
| Professional | | $12.30 | $19.64 | $31.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.96 / $10.51 / $11.56
| Facility | | $9.96 | $10.51 | $11.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $9.19 / $28.28
| Professional | | $6.43 | $9.19 | $28.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.62 / $17.62 / $52.64
| Facility | | $17.62 | $17.62 | $52.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.91 / $16.86 / $19.00
| Professional | | $12.91 | $16.86 | $19.00 |