- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.92 / $105.36 / $274.39
| Facility | | $12.92 | $105.36 | $274.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.58 / $9.72
| Professional | | $6.03 | $7.58 | $9.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.67 / $5.83 / $6.08
| Professional | | $4.67 | $5.83 | $6.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.50 / $28.97 / $54.53
| Facility | | $10.50 | $28.97 | $54.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.50 / $9.52
| Professional | | $5.00 | $5.50 | $9.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.72 / $15.55 / $52.10
| Facility | | $9.72 | $15.55 | $52.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $10.02 / $14.58
| Professional | | $7.29 | $10.02 | $14.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.72 / $13.61 / $13.61
| Facility | | $9.72 | $13.61 | $13.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.79 / $19.34 / $43.80
| Facility | | $6.79 | $19.34 | $43.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $6.25 / $14.98
| Professional | | $5.15 | $6.25 | $14.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $12.21 / $17.26
| Professional | | $8.25 | $12.21 | $17.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.57 / $9.72 / $17.01
| Facility | | $7.57 | $9.72 | $17.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $9.72 / $11.07
| Professional | | $8.75 | $9.72 | $11.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.39 / $9.72 / $22.54
| Facility | | $7.39 | $9.72 | $22.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $6.53 / $12.32
| Professional | | $5.15 | $6.53 | $12.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $4.99 / $6.94
| Professional | | $4.08 | $4.99 | $6.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $4.20 / $9.72
| Professional | | $3.79 | $4.20 | $9.72 |