- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $18.22 / $38.36
| Facility | | $8.65 | $18.22 | $38.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.02 / $8.65 / $13.38
| Professional | | $6.02 | $8.65 | $13.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $10.18 / $26.47
| Facility | | $10.18 | $10.18 | $26.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $5.77 / $20.51
| Professional | | $4.07 | $5.77 | $20.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.11 / $10.18 / $10.18
| Facility | | $6.11 | $10.18 | $10.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $10.18 / $10.18
| Professional | | $7.43 | $10.18 | $10.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.11 / $21.52 / $87.09
| Facility | | $7.11 | $21.52 | $87.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $11.32 / $88.13
| Professional | | $7.59 | $11.32 | $88.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $15.27 / $332.00
| Facility | | $9.00 | $15.27 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.65 / $6.11 / $18.63
| Professional | | $4.65 | $6.11 | $18.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $10.18 / $10.18
| Facility | | $10.18 | $10.18 | $10.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $10.18 / $13.13
| Professional | | $8.65 | $10.18 | $13.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.72 / $15.79 / $50.40
| Facility | | $6.72 | $15.79 | $50.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.27 / $24.70 / $137.43
| Facility | | $12.27 | $24.70 | $137.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $11.14 / $20.97
| Professional | | $8.10 | $11.14 | $20.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $6.11 / $14.76
| Professional | | $4.28 | $6.11 | $14.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.71 / $11.71 / $37.51
| Facility | | $11.71 | $11.71 | $37.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $11.02 / $13.51
| Professional | | $8.58 | $11.02 | $13.51 |