- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $40.74 / $83.18
| Facility | | $16.22 | $40.74 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.22 / $27.54
| Professional | | $12.88 | $16.22 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $48.98
| Facility | | $18.62 | $18.62 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $9.55 / $44.67
| Professional | | $9.33 | $9.55 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $18.62 / $18.62
| Facility | | $11.22 | $18.62 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $18.62 / $18.62
| Professional | | $13.80 | $18.62 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $39.81 / $204.17
| Facility | | $14.13 | $39.81 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $26.92 / $125.89
| Professional | | $12.30 | $26.92 | $125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $22.91 / $57.54
| Facility | | $14.13 | $22.91 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $13.18 / $36.31
| Professional | | $8.71 | $13.18 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $18.62
| Facility | | $18.62 | $18.62 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $18.62 / $28.18
| Professional | | $16.60 | $18.62 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $25.70 / $85.11
| Facility | | $15.14 | $25.70 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $35.48 / $50,118.72
| Facility | | $23.44 | $35.48 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $16.98 / $23.44
| Facility | | $11.22 | $16.98 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $11.22 / $28.18
| Professional | | $7.94 | $11.22 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $18.62 / $45.71
| Facility | | $15.85 | $18.62 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $19.50 / $60.26
| Professional | | $15.85 | $19.50 | $60.26 |