- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $54.95 / $295.12
| Facility | | $10.23 | $54.95 | $295.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.55 / $19.50
| Professional | | $7.08 | $9.55 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $6.76 / $9.55
| Professional | | $3.89 | $6.76 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $35.48 / $66.07
| Facility | | $12.30 | $35.48 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.17 / $8.51
| Professional | | $5.01 | $6.17 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $11.75 / $18.62
| Facility | | $6.76 | $11.75 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $11.75 / $19.05
| Professional | | $7.76 | $11.75 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $10.96 / $11.22
| Facility | | $10.96 | $10.96 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $24.55 / $60.26
| Facility | | $10.96 | $24.55 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $7.76 / $18.62
| Professional | | $5.89 | $7.76 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $60.26
| Facility | | $60.26 | $60.26 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $10.72 / $16.98
| Professional | | $9.55 | $10.72 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $13.49 / $165.96
| Facility | | $8.51 | $13.49 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $9.77 / $19.05
| Professional | | $6.03 | $9.77 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $9.33 / $9.33
| Professional | | $8.32 | $9.33 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257.04 / $724.44 / $794.33
| Facility | | $257.04 | $724.44 | $794.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $11.22 / $32.36
| Facility | | $8.91 | $11.22 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $8.13 / $18.62
| Professional | | $6.31 | $8.13 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $6.76 / $11.22
| Facility | | $3.98 | $6.76 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $6.61 / $9.55
| Professional | | $4.68 | $6.61 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $4.37 / $11.22
| Professional | | $4.37 | $4.37 | $11.22 |