- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.49 / $33.25 / $80.84
| Facility | | $11.49 | $33.25 | $80.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $10.54 / $13.90
| Professional | | $8.94 | $10.54 | $13.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $3.26 / $5.80
| Professional | | $3.26 | $3.26 | $5.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.09 / $12.09 / $31.43
| Facility | | $12.09 | $12.09 | $31.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $7.31 / $27.27
| Professional | | $5.77 | $7.31 | $27.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.25 / $12.09 / $12.09
| Facility | | $7.25 | $12.09 | $12.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $12.09 / $12.09
| Professional | | $8.83 | $12.09 | $12.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $25.55 / $122.78
| Facility | | $8.44 | $25.55 | $122.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.52 / $26.40
| Professional | | $8.89 | $13.52 | $26.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $15.72 / $332.00
| Facility | | $7.00 | $15.72 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.19 / $22.12
| Professional | | $5.25 | $7.19 | $22.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.25 / $5.25 / $5.25
| Facility | | $5.25 | $5.25 | $5.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $11.49 / $14.53
| Professional | | $5.25 | $11.49 | $14.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $3.15 / $4.20
| Professional | | $3.15 | $3.15 | $4.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $22.22 / $53.85
| Facility | | $8.75 | $22.22 | $53.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $29.81 / $160.97
| Facility | | $13.73 | $29.81 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $13.52 / $24.91
| Professional | | $4.50 | $13.52 | $24.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $7.25 / $18.32
| Professional | | $5.08 | $7.25 | $18.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.90 / $13.90 / $44.53
| Facility | | $13.90 | $13.90 | $44.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $12.78 / $16.05
| Professional | | $9.86 | $12.78 | $16.05 |