- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.49 / $27.69 / $58.38
| Facility | | $10.49 | $27.69 | $58.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.88 / $11.13 / $21.01
| Professional | | $7.88 | $11.13 | $21.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.09 / $13.09 / $34.03
| Facility | | $13.09 | $13.09 | $34.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.25 / $7.91 / $29.54
| Professional | | $6.25 | $7.91 | $29.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.85 / $13.09 / $13.09
| Facility | | $7.85 | $13.09 | $13.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $13.09 / $13.09
| Professional | | $9.56 | $13.09 | $13.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.15 / $26.86 / $134.76
| Facility | | $9.15 | $26.86 | $134.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $14.61 / $84.46
| Professional | | $9.76 | $14.61 | $84.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.50 / $17.02 / $332.00
| Facility | | $7.50 | $17.02 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $7.85 / $23.95
| Professional | | $5.98 | $7.85 | $23.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.09 / $13.09 / $13.09
| Facility | | $13.09 | $13.09 | $13.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.54 / $13.09 / $17.38
| Professional | | $11.54 | $13.09 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.64 / $49.60 / $179.20
| Facility | | $8.64 | $49.60 | $179.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $32.36 / $176.68
| Facility | | $13.73 | $32.36 | $176.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.48 / $18.00 / $30.00
| Professional | | $10.48 | $18.00 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.85 / $19.84
| Professional | | $5.50 | $7.85 | $19.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $15.05 / $48.23
| Facility | | $15.05 | $15.05 | $48.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.54 / $14.70 / $19.23
| Professional | | $11.54 | $14.70 | $19.23 |