- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $44.21 / $152.24
| Facility | | $8.76 | $44.21 | $152.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.15 / $9.91 / $11.53
| Professional | | $7.15 | $9.91 | $11.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $7.23 / $7.53
| Professional | | $5.78 | $7.23 | $7.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $36.78 / $66.53
| Facility | | $13.49 | $36.78 | $66.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.39 / $9.06
| Professional | | $5.00 | $6.39 | $9.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $18.07 / $27.11
| Facility | | $12.05 | $18.07 | $27.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.85 / $16.87
| Professional | | $8.44 | $10.85 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.65 / $12.65 / $12.65
| Facility | | $12.65 | $12.65 | $12.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.43 / $16.85 / $54.36
| Facility | | $7.43 | $16.85 | $54.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $6.82 / $22.81
| Professional | | $4.94 | $6.82 | $22.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.93 / $60.00 / $60.00
| Facility | | $20.93 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $12.05 / $19.85
| Professional | | $10.74 | $12.05 | $19.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $12.05 / $13.26
| Facility | | $8.76 | $12.05 | $13.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $12.05 / $20.93
| Professional | | $10.24 | $12.05 | $20.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110.09 / $157.18 / $203.33
| Facility | | $110.09 | $157.18 | $203.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.07 / $12.05 / $16.03
| Facility | | $8.07 | $12.05 | $16.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $10.95 / $12.16
| Professional | | $6.11 | $10.95 | $12.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.22 / $11.53 / $15.06
| Facility | | $4.22 | $11.53 | $15.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $4.84 / $7.83
| Professional | | $4.84 | $4.84 | $7.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $4.61 / $12.05
| Professional | | $4.50 | $4.61 | $12.05 |