- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.84 / $176.70 / $405.34
| Facility | | $17.84 | $176.70 | $405.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $8.86 / $10.18
| Professional | | $6.31 | $8.86 | $10.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.11 / $7.07
| Professional | | $4.88 | $6.11 | $7.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.99 / $31.40 / $58.74
| Facility | | $10.99 | $31.40 | $58.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.50 / $6.82
| Professional | | $5.00 | $5.50 | $6.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.41 / $15.12 / $121.72
| Facility | | $9.41 | $15.12 | $121.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $10.38 / $16.29
| Professional | | $7.64 | $10.38 | $16.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $42.24 / $42.24
| Facility | | $10.18 | $42.24 | $42.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.11 / $22.34 / $51.55
| Facility | | $7.11 | $22.34 | $51.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.40 / $7.40 / $16.96
| Professional | | $5.40 | $7.40 | $16.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.77 / $74.73 / $74.73
| Facility | | $58.77 | $74.73 | $74.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $10.18 / $293.37
| Facility | | $8.44 | $10.18 | $293.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $10.18 / $13.26
| Professional | | $9.16 | $10.18 | $13.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.14 / $10.18 / $26.29
| Facility | | $8.14 | $10.18 | $26.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.40 / $7.84 / $14.71
| Professional | | $5.40 | $7.84 | $14.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.56 / $7.53 / $12.73
| Facility | | $3.56 | $7.53 | $12.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $5.83 / $8.31
| Professional | | $4.28 | $5.83 | $8.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.97 / $5.01 / $10.18
| Professional | | $3.97 | $5.01 | $10.18 |