- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.12 / $32.27 / $107.58
| Facility | | $14.12 | $32.27 | $107.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.45 / $16.51 / $112.95
| Professional | | $13.45 | $16.51 | $112.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.93 / $17.93 / $46.62
| Facility | | $17.93 | $17.93 | $46.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $10.75 / $34.39
| Professional | | $8.86 | $10.75 | $34.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.76 / $17.93 / $17.93
| Facility | | $10.76 | $17.93 | $17.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.09 / $17.93 / $17.93
| Professional | | $13.09 | $17.93 | $17.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.53 / $36.03 / $46.17
| Facility | | $12.53 | $36.03 | $46.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $17.07 / $86.42
| Professional | | $12.26 | $17.07 | $86.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.00 / $25.92 / $332.00
| Facility | | $16.00 | $25.92 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.56 / $10.58 / $32.81
| Professional | | $6.56 | $10.58 | $32.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.69 / $3.69 / $3.69
| Facility | | $3.69 | $3.69 | $3.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.69 / $15.24 / $21.55
| Professional | | $3.69 | $15.24 | $21.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.93 / $49.54 / $68.17
| Facility | | $12.93 | $49.54 | $68.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.43 / $43.41 / $254.50
| Facility | | $16.43 | $43.41 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.39 / $20.65 / $32.74
| Professional | | $14.39 | $20.65 | $32.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.00 / $18.00 / $18.00
| Facility | | $18.00 | $18.00 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.53 / $10.76 / $26.33
| Professional | | $7.53 | $10.76 | $26.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.62 / $20.62 / $28.99
| Facility | | $20.62 | $20.62 | $28.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.42 / $18.80 / $22.25
| Professional | | $13.42 | $18.80 | $22.25 |