- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $41.69 / $93.33
| Facility | | $16.22 | $41.69 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $52.48
| Professional | | $6.03 | $7.94 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $22.91 / $48.98
| Facility | | $4.47 | $22.91 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $7.08 / $20.89
| Professional | | $3.89 | $7.08 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $51.29 / $97.72
| Facility | | $19.50 | $51.29 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.13 / $23.99
| Professional | | $5.75 | $8.13 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $16.22 / $33.11
| Facility | | $6.46 | $16.22 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $7.24 / $15.14
| Professional | | $4.79 | $7.24 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $9.77 / $15.49
| Professional | | $6.46 | $9.77 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $9.77 / $21.88
| Professional | | $7.76 | $9.77 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $64.57 / $102.33
| Facility | | $64.57 | $64.57 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $9.77 / $9.77
| Professional | | $4.90 | $9.77 | $9.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $11.22 / $25.70
| Facility | | $7.08 | $11.22 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.41 / $19.50
| Professional | | $5.25 | $7.41 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $33.88
| Professional | | $33.88 | $33.88 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $10.00 / $16.60
| Professional | | $7.76 | $10.00 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $5.37 / $9.77
| Facility | | $4.37 | $5.37 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.89 / $17.38
| Professional | | $4.07 | $5.89 | $17.38 |