- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.93 / $26.99 / $74.84
| Facility | | $10.93 | $26.99 | $74.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $8.97 / $13.88
| Professional | | $7.40 | $8.97 | $13.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $8.68 / $9.03
| Professional | | $6.94 | $8.68 | $9.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.91 / $43.09 / $78.08
| Facility | | $15.91 | $43.09 | $78.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.66 / $13.00
| Professional | | $5.00 | $7.66 | $13.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.46 / $21.69 / $50.27
| Facility | | $14.46 | $21.69 | $50.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $13.95 / $21.13
| Professional | | $10.11 | $13.95 | $21.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.78 / $14.46 / $14.46
| Facility | | $9.78 | $14.46 | $14.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.68 / $23.88 / $64.48
| Facility | | $9.68 | $23.88 | $64.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $7.36 / $21.88
| Professional | | $5.68 | $7.36 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $85.00
| Facility | | $55.00 | $70.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.53 / $14.46 / $15.91
| Facility | | $10.53 | $14.46 | $15.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.07 / $14.46 / $14.46
| Professional | | $11.07 | $14.46 | $14.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.40 / $14.46 / $33.31
| Facility | | $10.40 | $14.46 | $33.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $7.36 / $14.46
| Professional | | $5.68 | $7.36 | $14.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.99 / $14.46 / $17.35
| Facility | | $4.99 | $14.46 | $17.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.07 / $8.68
| Professional | | $4.88 | $6.07 | $8.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $5.78 / $14.46
| Professional | | $5.64 | $5.78 | $14.46 |